No Surprises Act Guidance for Health Plans: Final Rules, IDR Process, Qualifying Payment Amounts, Disclosures
Recording of a 90-minute CLE video webinar with Q&A
This CLE webinar will provide employee benefits counsel, plan sponsors, and administrators with a detailed analysis of the current regulatory framework under the No Surprises Act (NSA). The panel will examine good faith estimate requirements, surprise billing prohibitions, notice and consent requirements, and the payment process under the NSA. In light of ongoing litigation and agency guidance, the program will focus in depth on the qualifying payment amount (QPA) methodology and the independent dispute resolution (IDR) process, including regulatory modifications, enforcement discretion, and practical compliance challenges.
Outline
- Overview and Background of the NSA
- Surprise billing prohibitions and statutory framework
- Notice and consent requirements for out-of-network services
- Enforcement environment, including impact of TMA litigation
- Implementation of the Final Rule and Subsequent Developments
- QPA calculation and disclosure requirements
- Federal IDR process
- Best Practices for Compliance
Benefits
The panel will discuss these and other key issues:
- What are the regulatory requirements under Parts I and II of the Final Rule, and how have subsequent court rulings modified those obligations?
- What are the challenges with surprise billing prohibitions, notices, and disclosures for plan sponsors and administrators?
- What are the critical components of the most recent final rule and agency guidance?
- What is the current QPA disclosure framework?
- How do you navigate the federal IDR process?
Faculty
Svetlana Minevich
Founder, Shareholder, and Principal Attorney
Minevich Law Group
Ms. Minevich concentrates her practice on Federal No-Surprises Act arbitration, New York and New Jersey... | Read More
Ms. Minevich concentrates her practice on Federal No-Surprises Act arbitration, New York and New Jersey surprise billing arbitration, workers’ compensation collection, health law, debt collection, civil litigation, estate planning, probate, estate administration, and personal injury.
Close