RLI On Demand
February 2023 Power Hour Webinar 鈥� Don鈥檛 be Surprised by the 鈥淣o Surprises Act鈥� 鈥� Impact to Radiology Practices and What You Need to Know
Moderators: Jennifer E. Nathan, MD and Robert S. Pyatt, Jr, MD, F黑料网
Faculty: Josh Cooper, Howard Fleishon, MD, F黑料网, MMM, Tom Hoffman, CAE, JD, Greg Nicola, MD, F黑料网, Elizabeth Rula, PhD, and William Thorwarth Jr, MD, F黑料网
Learning Objectives
At the conclusion of this webinar, participants will be able to:
- Describe the evolution of the 鈥淣o Surprises Act鈥�.
- Identify how this rule impact patients and radiologists.
- Describe what the 黑料网 is doing to defend both radiologists and patients.
Recorded Webinar
Additional Resources
There are many resources available, however, the faculty identified these optional resources to lay the foundation for learners’ basic understanding of the topic.
- December 2022, Bulletin article titled “No Surprises, The 黑料网 advocates for the patients and radiologists as it pushes back against unfair policies.”
- December 2022, Bulletin article featuring guest columnist Richard Heller III, MD, F黑料网 and his perspective on what 黑料网 members should do, titled “Yogi, Britney, and the No Surprises Act. The government should institute the law as it was intended — to protect patients and not favor either insurance companies or doctors.”
- February 2023, Zotec Answers – Podcast Series: No Surprises Act Update.
Due to continued litigation, keeping up with what’s happening with the No Surprises Act (NSA) Independent Dispute Resolution (IDR) process is extremely challenging. On February 6, a federal court ruled in favor of Texas Medical Association’s second lawsuit vacating the NSA final rule. CMS responded by putting a hold on all IDR payment determinations under the NSA.
Key Takeaways:
While this hold will put financial strains on physicians with pending IDRs, we hope that CMS will expedite the issuance of new rules to relieve the tremendous backlog.
There are still many aspects of the NSA IDR process that are confusing, but Ed Gaines, JD, CCP, VP of Regulatory Affairs and Industry Liaison, for Zotec Partners, uses his expertise to answer some important questions in four new (each between 4-5 min)
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黑料网 News Press Releases offer updates about the latest happenings:
- January 19, 2023, 黑料网 Offers Plan to Improve Surprise Billing Independent Dispute Resolution Process
- February 2, 2023, Major Medical Societies Back Texas Medical Association Challenge to Flawed Qualifying Payment Amount
- February 8, 2023, Medical Societies Call TX Federal Court Surprise Billing Ruling A Victory for Patients and Providers
Moderator & Faculty Bios
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Moderators |
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Jennifer Nathan, MD |  |
Robert Pyatt, Jr, MD, F黑料网 | ||||
Faculty
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Josh Cooper
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Howard Fleishon, MD, F黑料网, MMM |
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Tom Hoffman, CAE, JD Mr. Hoffman is a Certified Association Executive of the American Society of Association Executives (ASAE). He served as Chair of the ASAE Legal Section Council in 2008-2009 and chaired and served on the ASAE Annual Association Law Symposium (Washington, DC) Planning Committee. Mr. Hoffman joined the faculty at George Mason University in the fall semester of 2012 as an adjunct member and has taught undergraduate-level courses in health care law and politics and policy. |
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Greg Nicola, MD, F黑料网 Dr. Gregory N. Nicola M.D. is a practicing radiologist subspecialized in neuroradiology. He currently serves as an executive leader in the Hackensack Radiology Group, as well as board member and finance chair for the Hackensack Meridian Health Partners Clinically Integrated Network. Dr. Nicola serves as a leader in the radiology community specifically in regard to health policy and economics issues. A few of his current active roles include Chair of the 黑料网鈥檚 (黑料网) Commission on Economics and an 黑料网 Board of Chancellor. Aside from his leadership roles, he has authored and co-authored a numerous peer-reviewed articles pertaining to health policy and economics, as well as serves a frequent speaker at national medical conferences. |
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| Elizabeth Rula, PhD Elizabeth Rula, Ph.D., is Executive Director of the Neiman Health Policy Institute, which has the mission to establish evidence to inform health policy and radiology practice that promotes the effective and efficient use of health care resources and improves patient care. With over 15 years of experience leading health services, economics and outcomes research, Dr. Rula strives to establish a strong scientific foundation for the value of health care services and health policy that promotes broad and equitable access to high-value care. |
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William T. Thorwarth Jr, MD, F黑料网 After receiving his undergraduate and medical degrees from Dartmouth College and Medical School, he trained in internal medicine at Penn State in Hershey PA and then completed his radiology residency at the University of North Carolina. He practiced interventional and diagnostic radiology as a member of Catawba Radiological Associates in Hickory, NC for nearly 30 years during which he served on the Board of Directors of Frye Regional Medical Center for the last 20 years. Dr. Thorwarth became actively involved with the 黑料网, concentrating his efforts on proper coding and reimbursement. He was elected to the 黑料网 Board of Chancellors where he chaired the Commission on Economics for 5 years before assuming the role of 黑料网 President from 2003-2004. Dr. Thorwarth was appointed to a seat on the AMA Current Procedural Terminology (CPT) Editorial Panel in 1999, which oversees the CPT coding process, and was appointed as Chairman of the Panel from 2007-2011. He has also been active in the Radiological Society of North America (RSNA) where he was appointed to the R and E Foundation Board of Trustees in 2006 and subsequently to the RSNA Board of Directors where he served as Liaison for Publications and Communications until assuming his current position with the 黑料网. While serving the 黑料网 as CEO he has prioritized the 黑料网 Strategic Plan Goal of external relationships continuing his engagement across radiology and other specialties, recently having been elected as a Board of Directors member and Secretary of the Council of Medical Specialty Societies. Dr. Thorwarth was the inaugural recipient of the 黑料网 Excellence in Health Policy and Economics Award that bears his name. He has been awarded the Gold Medal of the 黑料网 and, more recently, the RSNA and has been awarded the Career Achievement Award by the Dartmouth-Geisel School of Medicine. |
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