- Providing an overview of the No Surprises Act, an explanation of key provisions, and the impact it has had on
provider billing practices
- Highlighting how the No Surprises Act has influenced provider-payer interactions and insights into new
payment methodologies introduced by the act to resolve billing disputes
- Examples of how providers have adapted their practices to comply with the act

1. Highlighting key pain points that healthcare organizations face in PI operations and how it impacts their operations
2. Picture what other payer organization are doing to alleviate the pain points
3. Talking about “what if” scenarios or successful use cases of technology, process, governance to help in PI operations

- Elucidating the impact of value-based care on revenue cycle management, including the need for new
metric, payment models, and performance measures
- Revisiting existing RCM approaches and understanding how RCM can be optimized based on value
- Case studies of successful revenue cycle management transformations based on VBC principles

- Outlining how PI functions can adapt to help position providers for success in VBC partnerships
- Exploring new approaches to reimbursement, such as bundled payments, shared savings, and risk-sharing
arrangements

- A discussion between key payers and providers to communicate share challenges and concerns
- Case studies of successful payer-provider initiatives and effective provider engagement strategies
- Progressing mutually beneficial initiatives in a collaborative manner

- Coordinating the efforts of credentialing/enrollment, audits, investigations (SIUs), provider sanctions, and
policy
- Very few insurance payers have all those groups working together in a coordinated effort to reduce fraud,
increase revenue, and render excellent customer service to enrolled health care providers.