No Surprises Act, vaccination mandates will impact ophthalmology practice

January 16, 2022

1 minute read

Source:

ShurenAW. Health law. Featured at: Hawaiian Eye; January 15-21, 2022; Waikoloa, Hawaii.

Disclosures:
Shuren does not report any relevant financial information.


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WAIKOLOA, Hawaii – The No Surprises Act will impact some ophthalmic practices, especially those with an ASC, Allison W. Shuren, MSN, JD, said during a presentation here.

Allison W. Shuren

“It impacts your ASC and a bit of your practice,” Shuren said during a presentation at Hawaiian Eye 2022. ophthalmology and relates to the practice – and it is.

The law, Shuren explained, allows the federal government to step in and help patients who incur large medical bills they did not expect. Shuren noted that 20% of all ER visits may involve some form of out-of-network bill that a patient was unaware of or unaware of.

Ophthalmologists tend to already be “listening” to discussions with patients about paying out of pocket, Shuren said, pointing out that by law patients must receive “good faith estimates” for off-grid costs.

“If you have anesthesia in your CHW that is off the grid, your CHW should be prepared to explain [costs] to patients in advance,” Shuren said.

Shuren also discussed CMS’s vaccination mandate and noted that CHWs residing in the 24 states that fall under the mandate of federally funded facilities should be prepared for upcoming vaccination deadlines.

“There’s nowhere to go, so if you’re in those 24 states and you have CHWs, I would start planning the vaccination protocols.”

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