No Surprises Act: Emergency Care While Out-of-Network, Part 3

This is the 3rd installment of the No Surprise Act series where we will take a look at how the rule applies to the emergency setting.
Let H3 optimize your healthcare business so you can focus on what you do best: caring for patients.
Let H3 optimize your healthcare business so you can focus on what you do best: caring for patients.

This is the 3rd installment of the No Surprise Act series where we will take a look at how the rule applies to the emergency setting.

As practices look to drive down their rate of no-shows, there are several strategies we see practices put into place that seem promising, but ultimately aren’t effective, and in some cases have the opposite effect and drive patients away from the practice.

The No Surprises Act (NSA) addresses the situation of what happens when an out-of-network provider sees a patient in an in-network facility.

Patients forgetting and/or not receiving a reminder of an upcoming appointment was found to be the leading cause of patient no-shows. Scheduling conflicts and transportation issues followed as the next two most common factors. When combined, these top three issues account for nearly two thirds of all missed appointments.

There may be technical safeguards practices can implement within practice management and billing systems to satisfy these new requirements from the No Surprises Act to avoid any unintentional balance billing; however, there is no guarantee such stopgap systems will catch all potential scenarios.