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Surprise Billing Compliance Webinar - Shared screen with speaker view
Claudia Kretzer
04:52
hi!
nancy rief
05:36
hello
Greg Cox
05:42
Hello. No problem. Understand technical difficulties.
Stacey Gilbert
07:52
The slide is 1/2 size
Cindy Holtzman
18:24
E.R. Doctor always out of network too
MELANIE KANTOR
18:37
Colorado has had surprise billing protections since a year ago January. However will this also apply to Medicare or Orginal Medicare clients with a supplement?
Mark Roden
18:38
I assume this also covers labs drawn in the doctor's office and then sent to an out of network lab?
Claudia Kretzer
18:40
I had a client that got a surprise bill for anesthesia when had a baby
Theresa Patino
19:24
Claudia, anesthesia does the epidurals
Cindy Holtzman
20:01
Is this for ACA plans effective 1/1/2022??
Deborah Reed
22:07
what it is a serious asthma attack
Mark Roden
22:14
Could this be applied to "urgent" care as well?
Cindy Holtzman
27:21
Glad air ambulance is included!!
Cindy Holtzman
29:24
RAPE-Radiologist, Anesthesiologist, Pathologist, E.R. Doctor easier to remember
Deborah Reed
30:33
what is the ga law
Katie Lau
31:07
Is there a state law in CALIF? or would be bullet point # 3 for CA? Also Texas? Where to find this information?
Katie Lau
31:41
So it is based on the 'service' state and not where the policy is written... that makes sense
Mark Roden
34:17
Is there a penalty if the provider sends a balance bill to the patient anyway?
greg mckenzie
36:18
on Post Stabilization, does the provider have a time frame to inform the patient that that they are out of network?
Cindy Holtzman
37:07
There is a slim chance an Out of Network-aka Surprise bill will get to patient within 30 days, what happens if it never comes or does in 60 or 90 days
Mark Roden
37:10
what if there is no in-network alternative and the patient is stuck with the out of network provider at the in network facility? Are hospitals required to have RAPERS who are I network with all of the health plans that the hospital has contracts with?
Doug Roufa
37:50
Does this apply to individual health plans as well?
Ellen Dahlquist
38:12
you're unconscious and no choice
Cindy Holtzman
39:29
ER Doctor won't do this!
Cindy Holtzman
39:50
ER Doctors usually are floaters without an office
David Mordo
42:24
ER docs may not do it but attending docs will.
Cindy Holtzman
44:40
As a Medical Bill Advocate in the past I had to ask clients where is your ER Doctor bill, they had no clue, I had to hunt it down, they thought it was included on hospital bill
Mark Roden
46:53
Who is going to become these IDRs? What are the requirements?
David Mordo
46:55
Correct
Katie Lau
47:27
What about LEVEL funding plan... carrier or employer?
Luann Player
48:33
is there any update on the broker compensation disclosure?
Greg Cox
49:08
I also would like to know if there's any updated on the broker compensation disclosure.
Lisa Howard
49:15
Will there be an overview handout for our groups?
greg mckenzie
49:18
how does the level funded clients stay compliant with the new Act?
MELANIE KANTOR
49:29
LuAnn there was a Broker Comp. Webinar at 9 am MST Dave did for Benefit mall did this morning
Jose Trevino
50:34
can you put website
Jose Trevino
50:59
thanks
Luann Player
51:29
I never got information about a broker compliance webinar being held? How can I get either a recording of that presentation or the slides from it?
Greg Cox
51:32
I apologize for not knowing about the broker compensation update webinar this morning. Will there be a link to that which I can view? If so, please post where and when available.
Deborah Reed
51:53
they love penalties
MELANIE KANTOR
52:01
I am a broker in Colorado that responded to Broker Comp scenario...they recorded it..
Sharon McReynolds
52:20
Same here, about broker comp? Did not receive any info about webinar...
Jessica Gardner
52:50
Will this apply to Level-funded plans since they are self-funded? I would hope carriers would be responsible for level-funded. Do we know yet?
Priscilla Ribeiro
52:54
I didn't know about the broker compensation webinar. Are you able to send us those slides?
Cindy Holtzman
54:01
What happens if people have no idea there is a surprise biller if they never got a bill-like a assistant surgeon that has happened before-surgeon was in network-never said a thing until member got a bill
Ellen Marie Helinka
55:57
Can you review how these regulations would work with an out of network plan?
Gary Whiddon
57:17
Is Surprise Billing Law for only Group Health, not individual
MELANIE KANTOR
57:19
I asked very early on will this apply to Medicare Clients as well? Either with or without a supplement or Advantage plan..
Ellen Dahlquist
57:27
thus you still get surprised billing through your rates!
W Braiden Darley
58:48
One would think that providers will be forced to join a network as why would they want to go through the hoops and end up getting what effectively is the network reimbursement.
Cindy Holtzman
59:21
E.R. Doc's always
Robin Van Vliet
59:36
It begs the question about the future of PPOs instead of EPOs considering the deductibles are so high out of network.
Deborah Reed
59:49
thank you.
MELANIE KANTOR
59:56
I had that happen with an assistant surgeon in Colorado for a woman with a hysterectomy- and before our surprise bill was passed in Colorado, the assistant the surgeon with my help with the DOI dropped his bill from 2800 to nothing!
Mark Roden
01:00:02
Thank you! great job!
Cindy Holtzman
01:00:04
GREAT WEBINAR THANK YOU :)
Greg Cox
01:00:10
Can you please send the slides and recording for the compensation update (even if no new news)?
Kristine Levis
01:00:12
Will this also apply to facility fees charged on top of an office visit?
Mickey Carlin
01:00:16
Thank you Misty and Dave!!
Sharon McReynolds
01:00:24
thank you, much appreciated and good info1
MELANIE KANTOR
01:00:33
Thank you I very much appreciate you being there for us on compliance this morning with your two webinars
ADRIANA SERENA
01:00:35
Thanks you Misty and Dave!
Andrea Cannady
01:00:38
Thank you!