Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents this very timely subject for us. Effective January 1, 2022, the No Surprises Act has implications for patients, providers, and insurance companies alike. The impetus behind the legislation, as well as the regulations, is to prevent patients from receiving bills for certain services that were performed or delivered by providers out of their plan’s network. The scope is limited and providers and plans alike need to take steps to understand the appeal process when a payment or claim is challenged. The purpose of this presentation is to provide a brief overview of the evolution of the United States’ healthcare system and its relevance to the No Surprises Act. From there, the No Surprises Act and regulations will be explained, along with the appeal process. Finally, compliance tips will round out the presentation.
Medical Error, CANDOR/candor, and Patient Advocacy
First Healthcare Compliance hosts Kathleen W. McNicholas, MD, JD, CHC, CCEP, Consultant and Patient Advocate with Medical Legal Patient Advocacy Inc., for an interactive discussion on “Medical Error, CANDOR/candor, and Patient Advocacy.” Dr. McNicholas will review medical error and provide an approach to harmed patients. The CANDOR program of Communication and Optimal Resolution will be explained. CANDOR is well established and has been successfully adopted by many medical centers. With CANDOR in place, patients may benefit from the use of the principles and the help of a board-certified patient advocate.
Expanded Roles and Duties for Medical Assistants during the COVID-19 Era
Catherine Short speaks with Donald A. Balasa, JD, MBA, CEO and Legal Counsel of the American Association of Medical Assistants (AAMA), on the topic of “Expanded Roles and Duties for Medical Assistants during the COVID-19 Era.” The medical assisting profession has risen to the occasion as we have been dealing with the most serious health crisis in the last 100 years. Medical assistants have been asked by public health officials, managers of health systems, and licensed providers to assume expanded roles and perform tasks beyond their normal scope of work. Because of the breadth of their education and training, medical assistants have been able to adapt quickly to these new responsibilities. They have been called upon to work in nontraditional settings under the authority and supervision of a dedicated array of clinicians and administrators with whom they had not previously practiced. During this episode, we will discuss the laws that establish the scope of practice for medical assistants, and to delineate the expanded tasks that may be delegated under these laws.
Why payers can’t ignore the interoperability rules and should comply sooner rather than later
Catherine Short speaks with Dr. Chris Hobson, Chief Medical Officer for Orion Health. The topic of today’s program is “Why payers can’t ignore the interoperability rules and should comply sooner rather than later.” The Interoperability and Patient Access final rule approved by CMS and ONC is intended to advance patient participation through access to their health information and to drive advanced interoperability and innovation across the U.S. These rules will have significant impact on payer organizations who are currently facing unprecedented times.
Ethics and 20 years of HIPAA
Kathleen W. McNicholas, MD, JD, CHC, CCEP, will lead the presentation Ethics and 20 years of HIPAA at the upcoming Virtual HIPAA Privacy and Security Summit 2020 on November 12
Ethics and Patient Advocacy
Kathleen W. McNicholas, MD, JD, CHC, CCEP, will lead the presentation, Ethics and Patient Advocacy at the Healthcare Compliance Symposium 2020 on April 23.
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