No Surprises Act

The No Surprises Act took effect on January 1, 2022, and is designed to protect patients from surprise billing or balance billing. Under this law, Ambulatory surgery centers, hospitals, and individual providers must provide insured patients using out-of-network or non-participating providers a notice regarding this act and a consent form.

Download here: No Surprises Act Instructions and templates

Please check updated documents below related to the No Surprises Act.

Good Faith Estimate Data Elements

Good Faith Estimate Template Notice

Surprise Billing Act Requirements

Right to Receive a Good Faith Estimate of Expected Charges Notice

Remote Monitoring

Introduction
The genie is out of the bottle! What we mean with this statement is that telemedicine is here to stay and with telemedicine and the current advances in technology the need for remote monitoring shows an untapped potential.

Description
One of the results of the COVID 19 pandemic has been the evolution and implementation of remote services. The Centers for Medicare & Medicaid Services (CMS) has been looking at this “opportunity” and agreed to make changes in their fee schedule to accommodate these services. One of CMS major changes has been the incorporation of “remote therapeutic monitoring (RTM).” The CPT codes proposed by CMS for RTM are:

CPT code 989X1: Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response), initial set-up and patient education on use of equipment;

CPT code 989X2: Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response), device(s) supply with scheduled (e.g., daily) recording(s) and/or programmed alert(s) transmission to monitor respiratory system, each 30 days;

CPT code 989X3: Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response), device(s) supply with scheduled (e.g., daily) recording(s) and/or programmed alert(s) transmission to monitor musculoskeletal system, each 30 days;

CPT code 989X4: Remote therapeutic monitoring treatment management services, physician/ other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; first 20 minutes; and

CPT code 989X5: Remote therapeutic monitoring treatment management services, physician/other qualified healthcare professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month, each additional 20 minutes (List separately in addition to code for primary procedure).

The key of this presentation and the important point to focus on is that remote monitoring provides healthcare providers opportunities to improve patient care while simultaneously increase their income opportunities.

Target Audience
Physicians, Chiropractors, Physical Therapists, Rehab specialists, healthcare administrators, office managers, billing specialists, Practice consultants.

CERTIFICATIONS

RESOURCES

ABOUT

No Surprises Act

Electroanalgesia

The science of Electroanalgesia

Conditions and Treatments

Application

Fall Prevention

Assessment of Risks

Post Fall Rehab

Prevention of risks

Remote Monitoring

Compliance Tools

Wound Care

Electroanalgesic

Pulse Insulin

Legally Mine

Telemedicine and Mental Health