Healthcare Hot Topic: Out-of-Network Charges and Regulatory Changes

Rachel V. Rose, JD, MBA
Rachel V. Rose, JD, MBA | Rachel V. Rose, JD, MBA

Ms. Rose has a unique background, having worked in many different facets of healthcare, securities, cybersecurity, as well as international law and business throughout her career. Her practice focuses on a variety of cyber security, health care and securities law issues related to industry compliance and transactional work, as well as representing plaintiffs in Dodd-Frank/False Claims Act whistleblower claims.

On-Demand: September 22, 2021

Healthcare Hot Topic: Out-of-Network Charges and Regulatory Changes
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Program Summary

In July 2021, a group of government agencies issued an interim final rule that restricts out-of-pocket costs to consumers from surprise billing and balance billing. Most individuals are familiar with the terms “in-network” and “out-of-network” in relation to health insurance plans. Part of the No Surprises Act (Pub. L. 116-260), the new regulations take effect for healthcare providers and facilities, as well as contract years for group health plans, health insurance insurers, and FEHB carriers on January 1, 2022. The purpose of this webinar is to provide an overview of health insurance plan nuances, the requirements under these new laws and regulations, and provide compliance tidbits.

This course is co-sponsored with myLawCLE.

Key topics to be discussed:

  • No Surprises Act
  • Interim Final Rules – balance billing, surprise billing, and out-of-network billing
  • Compliance tips

Date / Time: November 12, 2021

  • 2:00 pm – 4:10 pm Eastern
  • 1:00 pm – 3:10 pm Central
  • 12:00 pm – 2:10 pm Mountain
  • 11:00 am – 1:10 pm Pacific

Choose a format:
Live Video Broadcast/Re-Broadcast: Watch Program "live" in real-time, must sign-in and watch program on date and time set above. May ask questions during presentation via chat box. Qualifies for "live" CLE credit.
On-Demand Video: Access CLE 24/7 via on-demand library and watch program anytime. Qualifies for self-study CLE credit. On-demand versions are made available 5 business days after the original recording date and are viewable for up to one year.

Closed-captioning available

Speakers

Rachel V. Rose_myLawCLERachel V. Rose, JD, MBA | Principal with Rachel V. Rose – Attorney at Law, P.L.L.C. (Houston, TX)

Ms. Rose has a unique background, having worked in many different facets of healthcare, securities, cybersecurity, as well as international law and business throughout her career. Her practice focuses on a variety of cybersecurity, health care, and securities law issues related to industry compliance and transactional work, as well as representing plaintiffs in Dodd-Frank/False Claims Act whistleblower claims.

In addition to being extensively published and a sought-after presenter and quoted expert, Ms. Rose holds an MBA with minors in healthcare and entrepreneurship from Vanderbilt University, and a law degree from Stetson University College of Law, where she graduated with various honors, including the National Scribes Award and The William F. Blews Pro Bono Service Award.

Ms. Rose is licensed in Texas and is a Fellow of the Federal Bar Association. Currently, she is the Chair of the Federal Bar Association’s Government Relations Committee, the co-editor of the American Health Lawyers Association’s Enterprise Risk Management Handbook for Healthcare Entities (2nd Edition), as well as a co-author of the books The ABCs of ACOs and What Are International Business Considerations? She has been named consecutively to the Texas Bar College, the National Women Trial Lawyers Association’s Top 25 and Houstonia Magazine’s Top Lawyers for healthcare.

In 2019, she was also named to the National Trial Lawyers Association’s Top 100, as well as 1st Healthcare Compliance’s 2019 Top Presenter. Ms. Rose is also an Affiliated Member with the Baylor College of Medicine’s Center for Medical Ethics and Health Policy, where she teaches bioethics. See www.rvrose.com for additional information.

Agenda

I. U.S. health insurance industry overview | 2:00pm – 2:24pm
II. No Surprises Act, which was enacted as part of the Consolidated Appropriations Act | 2:24pm – 2:48pm
III. The multi-agency interim final rule | 2:48pm – 3:12pm

IV. Break 3:12pm – 3:22pm

V. Recent Cases | 3:22pm – 3:46pm
VI. Suggested Steps to become compliant before January 1, 2022 | 3:46pm – 4:10pm