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Much of the focus of the No Surprises Act falls on surprise medical bills for care received in the hospital, but that does not mean ambulatory providers should ignore the law. The Act and its hefty penalties for non-compliance should serve as a wake-up call that federal regulators expect patients to know what they owe after a medical appointment. Practices that have managed to get by with manual workflows for verifying eligibility, writing claims and processing denials are likely to struggle to add avoiding surprise bills to that mix.
Fortunately, the right revenue cycle management tools can help ambulatory practices comply– and, at the same time, put in place automated workflows that increase the number of claims paid on the first pass. Reduced denials and surprise bills are certainly better for the business, and they create a patient experience that encourages loyalty and leads to highly valuable word-of-mouth referrals.
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