0104_SHVGR_No Surprises Act- Implications for All Providers_Live

May 17, 2023

Course Description:

The No Surprises Act (NSA), implemented in January 2022 by CMS, is designed to minimize any kind of surprise billing to patients obtained from medical services outside of their health insurance network. This presentation provides learners how to identify scenarios that might trigger NSA as well as provides a forum to discuss solutions for incorporating these requirements into practice.

Target Audience

Nurse Practitioner (NP)

Nurse, Registered (RN)

Pharmacists (PharmD)

Physicians (MD or DO)

Physician Assistant (PA)

Psychologists

Social Workers

Other Healthcare Professionals

Students of Health Professions

Learning Objectives

After completing this course, learners should be able to:

• Identify scenarios that trigger the No Surprises Act (NSA): Emergency, out-of-network nonemergency, and self-pay (uninsured) care.

• Describe when NSA requires estimates before a procedure and how estimates differ depending on the scenario.

• Review current NSA litigation. • Discuss solutions for incorporating NSA into practice.

Course summary
Available credit: 
  • 0.75 ACPE

    In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Sutter Health designates this Live activity for a maximum of 0.75 of ACPE credit(s). Credits for pharmacists and technicians will be transmitted to CPE Monitor and will be available within 60 days post-activity pending submission of individual NABP e-PID and DOB (mm/dd only). Learners should claim only the credit commensurate with the extent of their participation in the activity.

    Jointly accredited provider, with commendation, interprofessional continuing education
  • 0.75 AMA PRA Category 1 Credit

    In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Sutter Health designates this Live activity for a maximum of 0.75 AMA PRA Category 1 Credit™ for physicians. Learners should claim only the credit commensurate with the extent of their participation in the activity.

    Jointly accredited provider, with commendation, interprofessional continuing education
  • 0.75 AMA PRA Category 1 CreditHour(s)

    In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Sutter Health certifies this Live activity was designated for a maximum of 0.75 AMA PRA Category 1 CreditHour(s). Non-physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Jointly accredited provider, with commendation, interprofessional continuing education
  • 0.75 ANCC

    In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    This course/program has been awarded 0.75 ANCC contact hour(s). Sutter Health is accredited provider of nursing continuing professional development. Learners should claim only the credit commensurate with the extent of their participation in the activity.

    Jointly accredited provider, with commendation, interprofessional continuing education
  • 0.75 IPCE

    This activity was planned by and for the healthcare team, and learners will receive 0.75 Interprofessional Continuing Education (IPCE) credit for learning and change.

    IPCE Credit
Course opens: 
05/17/2023
Course expires: 
06/17/2023
Event starts: 
05/17/2023 - 12:00pm PDT
Event ends: 
05/17/2023 - 12:45pm PDT
Cost:
$0.00
Rating: 
0

Culturally Appropriate Care which is Free of Implicit Biases (AB 1195 & 241):

Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:

  1. Himmelstein, D. U., Dickman, S. L., McCormick, D., Bor, D. H., Gaffney, A., & Woolhandler, S. (2022). Prevalence and Risk Factors for Medical Debt and Subsequent Changes in Social Determinants of Health in the US. JAMA network open, 5(9), e2231898. https://doi.org/10.1001/jamanetworkopen.2022.31898
  2. Nadeem, M. F., & Kaiser, L. R. (2022). Disparities in Health Care Delivery Systems. Thoracic surgery clinics, 32(1), 13–21. https://doi.org/10.1016/j.thorsurg.2021.09.005
  3. Horton S. (2006). The double burden on safety net providers: placing health disparities in the context of the privatization of health care in the US. Social science & medicine (1982), 63(10), 2702–2714. https://doi.org/10.1016/j.socscimed.2006.07.003

 

Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest

Sophia Humphreys, a planning team member for this activity, receives honoraria form Pharmacosmos for her role consulting on the IV Iron Consensus paper which was deemed not relevant to this activity’s topic. Further, she has recently ended financial relationships with the following ineligible companies: Coherus Bioscience (ended 11/2021), Fresenius Kabi (ended 10/2022), and Heron (ended 10/2022).

Jonathan Kaplan, faculty for this activity, has a financial interest in KP Innovations; however, this was deemed not relevant to this presentation on the No Surprises Act. 

No one else involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.   

– Provider Designee/Verification:  Kerri Maya, PhD(c), MSL, RN, NPD-BC

Speaker(s)

Jonathan Kaplan

has no relevant financial relationships to disclose at this time.

Accreditation

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In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.

Credit Designation Statement

Sutter Health designates this LIVE activity for a maximum of 0.75 AMA PRA Category 1 Credits™ for physicians, 0.75 continuing professional development contact hours for nurses, 0.75 knowledge-based contact hours for pharmacists, and 0.75 approved continuing education hours for social workers. Learners should claim only the credit commensurate with the extent of their participation in the activity.

Note to Other Disciplines: AMA PRA Category 1 Credits™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.

Attendance & Credit Claiming

Text the 6-letter attendance verification code to (916) 866-7913 to claim credit.

Available Credit

  • 0.75 ACPE

    In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Sutter Health designates this Live activity for a maximum of 0.75 of ACPE credit(s). Credits for pharmacists and technicians will be transmitted to CPE Monitor and will be available within 60 days post-activity pending submission of individual NABP e-PID and DOB (mm/dd only). Learners should claim only the credit commensurate with the extent of their participation in the activity.

    Jointly accredited provider, with commendation, interprofessional continuing education
  • 0.75 AMA PRA Category 1 Credit

    In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Sutter Health designates this Live activity for a maximum of 0.75 AMA PRA Category 1 Credit™ for physicians. Learners should claim only the credit commensurate with the extent of their participation in the activity.

    Jointly accredited provider, with commendation, interprofessional continuing education
  • 0.75 AMA PRA Category 1 CreditHour(s)

    In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Sutter Health certifies this Live activity was designated for a maximum of 0.75 AMA PRA Category 1 CreditHour(s). Non-physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Jointly accredited provider, with commendation, interprofessional continuing education
  • 0.75 ANCC

    In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    This course/program has been awarded 0.75 ANCC contact hour(s). Sutter Health is accredited provider of nursing continuing professional development. Learners should claim only the credit commensurate with the extent of their participation in the activity.

    Jointly accredited provider, with commendation, interprofessional continuing education
  • 0.75 IPCE

    This activity was planned by and for the healthcare team, and learners will receive 0.75 Interprofessional Continuing Education (IPCE) credit for learning and change.

    IPCE Credit

Price

Cost:
$0.00
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