Under the No Surprises Act, we know there are new rules like balance billing written to protect people from unexpected, out-of-network medical bills. New provisions extend to provider directories: the No Surprises Act requires that provider information must be updated and submitted at the beginning and termination of their employee agreement, when there are material changes to the content, and upon request by the issuer.
Is your credentialing management software up to the task of extracting this information at a moment’s notice? Watch the latest installment of the Madaket Minute to learn more about provider directory regulations under the No Surprises Act and how Madaket’s credentialing management software can help.
Read the video transcript below and subscribe to Madaket Health on YouTube.
Hello everyone, and welcome to another installment of the Madaket Minute. My name is Martin Cody with Madaket Health, and in this Minute we are going to talk about your Credentialing Management Software, your provider directory, and their relation to the No Surprises Act.
Hint—the Credentialing Management Software is not going to help you with compliance.
Here’s what the No Surprises Act reads: Any healthcare provider or healthcare facility that has or has had a contractual relationship with the plan or issuer to provide items or services under such plan or insurance coverage, must submit provider directory information to the plan or issuer at a minimum at the beginning of the network agreement with the plan or issue, at the termination of the agreement when there are material changes to the content of the provider directory, such as address information of the provider or facility upon request by the plan or issuer, and on and on and on.
The big question is—are you able to extract this information from your provider directory ad hoc, as needed, on a minute-to-minute basis? And more importantly, shouldn’t you be able to? Let us know, we can help.