At HealthClaim Partners, we understand the critical importance of staying compliant with the No Surprise Act. As regulations evolve, our team helps healthcare providers navigate complex requirements, avoid penalties, and protect patients from unexpected medical bills. Through comprehensive assessments, policy reviews, and real-time updates, we ensure your practice remains aligned with the law—so you can focus on delivering exceptional care.
The No Surprise Act
The No Surprise Act is a federal law that protects patients from unexpected medical bills, particularly in situations involving out-of-network providers. Effective January 1, 2022, it prohibits surprise billing for emergency services and certain non-emergency care at in-network facilities. The law also requires providers to offer good faith estimates and clear disclosures about patient financial responsibilities. For healthcare practices, compliance involves updating billing policies, improving transparency, and ensuring patients are not billed beyond their in-network cost-sharing amounts without proper consent.
Compliance Assessments
We begin by conducting a comprehensive assessment of your current billing practices, internal workflows, and provider network agreements. This evaluation identifies gaps or vulnerabilities that could result in non-compliance with the No Surprise Act. Our team examines everything from patient notifications and consent procedures to billing processes and documentation. Based on our findings, we deliver clear, actionable recommendations to correct discrepancies and strengthen your compliance framework.
Policy & Procedure Review
Once we’ve assessed your existing systems, we review your billing policies and administrative procedures. Our goal is to ensure your written policies reflect the requirements of the No Surprise Act and are consistently followed by staff. We collaborate with your leadership and compliance team to revise outdated policies or create new protocols where needed. This includes guidance on proper patient disclosures, timelines for good faith estimates, and balance billing restrictions, all tailored to your specialty and state regulations.
Updates on Regulatory Changes
The No Surprise Act is subject to ongoing regulatory updates and federal interpretations. We continuously monitor all legislative developments to keep your practice compliant in real time. We proactively inform you of any changes that may impact your operations and help implement updates quickly and effectively. Whether it’s a shift in arbitration procedures or modifications to notice requirements, you’ll always be one step ahead with our regulatory insights.
Financial Impact Mitigation
Non-compliance can result in significant financial penalties and reimbursement challenges. Our services aim to help you avoid costly errors while improving billing efficiency. By implementing compliant workflows, clarifying patient financial responsibilities upfront, and reducing the risk of surprise billing disputes, we help protect your bottom line. HealthClaim Partners supports your practice not only in meeting legal standards but also in minimizing financial disruption and maintaining a stable revenue stream.
Request a No-Obligation Consultation
Take the first step toward smoother billing operations with a free, no-obligation consultation from HealthClaim Partners. During your session, we’ll review your current billing processes, discuss No Surprise Act concerns, explore opportunities to reduce denials, and identify ways to improve reimbursement. Whether you need help with compliance, appeals, or overall revenue cycle management, our experts are here to guide you.
Let’s find the right solution for your practice—request your consultation today.
