Power Hour Webinar

February 2023 Power Hour Webinar – Don’t be Surprised by the “No Surprises Act” – Impact to Radiology Practices and What You Need to Know




Moderators: Jennifer E. Nathan, MD and Robert S. Pyatt, Jr, MD, F°ϲʹ

Faculty: Josh Cooper, Howard Fleishon, MD, F°ϲʹ, MMM, Tom Hoffman, CAE, JD, Greg Nicola, MD, F°ϲʹ, Elizabeth Rula, PhD, and William Thorwarth Jr, MD, F°ϲʹ


Description: During this webinar, experts will explain the evolution of the “No Surprise Act” (NSA). They will describe the challenges that have resulted from the enactment of this rule, how this rule impacts the patients and radiologists, what the °ϲʹ is doing to defend both radiologists and patients, and what you, as a radiologist, need to be aware of and how you can take action to help.

Learning Objectives


At the conclusion of this webinar, participants will be able to:

  • Describe the evolution of the “No Surprises Act”.
  • Identify how this rule impact patients and radiologists.
  • Describe what the °ϲʹ is doing to defend both radiologists and patients.

Recorded Webinar


Additional Resources


There are many resources available, however, the faculty identified these optional resources to lay the foundation for learners’ basic understanding of the topic.

  • February 2023, Zotec Answers – Podcast Series: No Surprises Act Update.
    Due to continued litigation, keeping up with what’s happening with the No Surprises Act (NSA) Independent Dispute Resolution (IDR) process is extremely challenging. On February 6, a federal court ruled in favor of Texas Medical Association’s second lawsuit vacating the NSA final rule. CMS responded by putting a hold on all IDR payment determinations under the NSA.

    Key Takeaways:
    While this hold will put financial strains on physicians with pending IDRs, we hope that CMS will expedite the issuance of new rules to relieve the tremendous backlog.

    There are still many aspects of the NSA IDR process that are confusing, but Ed Gaines, JD, CCP, VP of Regulatory Affairs and Industry Liaison, for Zotec Partners, uses his expertise to answer some important questions in four new  (each between 4-5 min)

Moderator & Faculty Bios


Moderators

Headshot of Dr. Nathan Jennifer Nathan, MD
Pyatt_190 Robert Pyatt, Jr, MD, F°ϲʹ

 


Faculty

Josh Cooper
Josh Cooper is Vice-President of Government Relations and Economics Health Policy. Josh has over 35 years of government affairs experience both on and off Capitol Hill, 25 of which have been spent advocating for the °ϲʹ. Josh oversees congressional advocacy, political fund raising and grassroots activities.

 

Howard Fleishon, MD, F°ϲʹ

Howard Fleishon, MD, F°ϲʹ, MMM
Howard Fleishon is from Philadelphia where he did his medical school and radiology training. He has spent the majority of his career as a clinical radiologist and practice leader in Phoenix. Howard is now a professor at Emory University. Interests during his career have centered on leadership and management in Radiology. Howard has served in a variety of roles in the College including a past Chair of the Practice Leaders Committee, and Council Speaker. He founded and was the first Chair of the Radiology Advocacy Network. Howard is the immediate past Chair Board of Chancellors and currently proudly serving as President, °ϲʹ.

 

Tom Hoffman, CAE, JD
Thomas R. Hoffman, JD, CAE is Vice President, Legal with the °ϲʹ in Reston, Virginia. Mr. Hoffman counsels College members and staff on corporate, governance and medical legal matters. Additionally, he advises College members and staff on fraud and abuse, self-referral and other federal and state compliance and transactional matters. Mr. Hoffman currently serves as principal staff to °ϲʹ’s Ethics and Governance Committees and co-staff to °ϲʹ’s Bylaws Committee. Additionally, he has served as staff to the °ϲʹ Commission on Leadership and Practice Development, and °ϲʹ Task Forces on Teleradiology Practice; Conflicts of Interest; International Teleradiology and Regulatory Compliance.

Mr. Hoffman is a Certified Association Executive of the American Society of Association Executives (ASAE). He served as Chair of the ASAE Legal Section Council in 2008-2009 and chaired and served on the ASAE Annual Association Law Symposium (Washington, DC) Planning Committee. Mr. Hoffman joined the faculty at George Mason University in the fall semester of 2012 as an adjunct member and has taught undergraduate-level courses in health care law and politics and policy.

 

Greg Nicola, MD, F°ϲʹ
Dr. Gregory N. Nicola M.D. is a practicing radiologist subspecialized in neuroradiology. He currently serves as an executive leader in the Hackensack Radiology Group, as well as board member and finance chair for the Hackensack Meridian Health Partners Clinically Integrated Network. Dr. Nicola serves as a leader in the radiology community specifically in regard to health policy and economics issues. A few of his current active roles include Chair of the °ϲʹ’s (°ϲʹ) Commission on Economics and an °ϲʹ Board of Chancellor. Aside from his leadership roles, he has authored and co-authored a numerous peer-reviewed articles pertaining to health policy and economics, as well as serves a frequent speaker at national medical conferences.

 

Elizabeth Rula, PhD
Elizabeth Rula, Ph.D., is Executive Director of the Neiman Health Policy Institute, which has the mission to establish evidence to inform health policy and radiology practice that promotes the effective and efficient use of health care resources and improves patient care. With over 15 years of experience leading health services, economics and outcomes research, Dr. Rula strives to establish a strong scientific foundation for the value of health care services and health policy that promotes broad and equitable access to high-value care.
Headshot

 

Thorwarth_190x188

William T. Thorwarth Jr, MD, F°ϲʹ
William (Bill) Thorwarth MD is the Chief Executive Officer of the °ϲʹ, assuming that role in April 2014.

After receiving his undergraduate and medical degrees from Dartmouth College and Medical School, he trained in internal medicine at Penn State in Hershey PA and then completed his radiology residency at the University of North Carolina. He practiced interventional and diagnostic radiology as a member of Catawba Radiological Associates in Hickory, NC for nearly 30 years during which he served on the Board of Directors of Frye Regional Medical Center for the last 20 years. Dr. Thorwarth became actively involved with the °ϲʹ, concentrating his efforts on proper coding and reimbursement. He was elected to the °ϲʹ Board of Chancellors where he chaired the Commission on Economics for 5 years before assuming the role of °ϲʹ President from 2003-2004. Dr. Thorwarth was appointed to a seat on the AMA Current Procedural Terminology (CPT) Editorial Panel in 1999, which oversees the CPT coding process, and was appointed as Chairman of the Panel from 2007-2011. He has also been active in the Radiological Society of North America (RSNA) where he was appointed to the R and E Foundation Board of Trustees in 2006 and subsequently to the RSNA Board of Directors where he served as Liaison for Publications and Communications until assuming his current position with the °ϲʹ. While serving the °ϲʹ as CEO he has prioritized the °ϲʹ Strategic Plan Goal of external relationships continuing his engagement across radiology and other specialties, recently having been elected as a Board of Directors member and Secretary of the Council of Medical Specialty Societies.

Dr. Thorwarth was the inaugural recipient of the °ϲʹ Excellence in Health Policy and Economics Award that bears his name. He has been awarded the Gold Medal of the °ϲʹ and, more recently, the RSNA and has been awarded the Career Achievement Award by the Dartmouth-Geisel School of Medicine.

 

 

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