Reimagining Traditional Claims Processes to Comply with the No Surprises Act

HealthIMPACT Live Presents: Reimagining Traditional Claims Processes to Comply with the No Surprises Act - A Case Study about Intelligent Automation

Originally Published: April 7, 2022

YouTube Video: https://youtu.be/e0DWWPBvG0o

Congress passed the No Surprises Act in December 2020 to reduce unexpected medical bills on patients. The January 2022 deadline to implement has arrived, and on top of the ongoing public health emergency, this has presented a formidable challenge. Under the act, the burden shifts to the payer and providers to negotiate payments before the patient is sent a bill. According to estimates, nearly 1 in 5 claims related to inpatient admissions involve out-of-network services, so out-of-network providers must have standard processes for compliance and claims submission and must create relationships to work through disputes. 

With clinical and administrative staffing shortages, rampant provider burnout, and overrun emergency rooms, asking revenue cycle teams to reimagine traditional claims processes to comply with the No Surprises Act feels like a nearly impossible challenge. In this session, you will hear real-world examples of how leading health systems are using RPA and intelligent automation to address these new regulatory challenges and realize amazing benefits, including efficiencies, greater workload capacity, error reduction, and significant cost savings.

• What is the motivation for and impact of the No Surprises Act on Patients, Providers, and Plans
• How to plan for the specific impacts on Health Systems revenue management 
• Understand the dispute resolution process, the payment rates, and how they will negotiate
• Learn how large healthcare organizations are using intelligent automation to meet the Act’s requirements
• Hear real-world lessons on their implementation, results to date, and opportunities to expand

Yan Chow, MD, MBA, Global Healthcare Leader, Automation Anywhere

Tyler Stowell, Senior Director, Healthcare Revenue Cycle Management, Automation Anywhere

Shahid Shah, Publisher and Chief Editor, Medigy.com

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