Quick Reference — To flag upcoming appointments that may be subject to Out-of-Network Billing Consent

 

This functionality is available if the No Surprises Act Consent feature has been enabled for your practice. For reference, see the User Guide — athenaOne Support for Compliance with No Surprise Billing Legislation.

 

 

You can flag upcoming appointments that may allow for consent to balance bill (Out-of-Network Billing Consent), and manage the patient consent requirements from either of these pages:

From either page, clicking Manage consent brings you to a new Out-of-Network Billing Consent pop-up window to manage the consent steps.

 

Best practice: If you intend to balance bill for applicable services, the No Surprises Act requires that you notify patients about a qualifying out-of-network provider within specified timeframes before their appointment and receive appropriate consent.

 

 

  1. Display the Eligibility and Phone page: On the Main Menu, click Calendar. Under APPOINTMENTS, click Eligibility and Phone List.

  2. View — select Out-of-Network Billing Consent to display the new Filter fields.


  3. Filter by consent status — Select a status:
    • All — Shows appointments with any consent status
    • Not required to inform patient — Shows appointments that have not been flagged as Out-of-network rates may apply, so patient consent is not available
    • Incomplete consent — Shows appointments with incomplete consent. (If you select Incomplete consent, both Needs cost estimate and Missing signed patient consent form are automatically checked. You can also select either status independently.)
    • Collected patient consent — Shows appointments with a signed patient consent form attached
  4. The list appears with the following new Out-of-Network Billing Consent columns for each appointment:
    • Inform patient — Check the box Out-of-network rates may apply if applicable
    • Status — Shows current Out-of-Network Billing Consent status for each appointment that has been flagged as Out-of-network rates may apply. See Out-of-Network Billing Consent Status for details.
    • Action — Click Manage consent if needed to complete consent steps

 

 

  1. Display the Appointment page: On the Main Menu, click Calendar. Under APPOINTMENTS, click Today's Appointments.
  2. At the top of the Task Bar, select a specific Dept and Date, then click Go. The list of patients scheduled for that day appears below. Click a patient name in the schedule.
  3. Review the appointment information. If the appointment has an out-of-network provider: at the bottom of the Appointment Information section, select Out-of-Network rates may apply.
  4. The consent status and Manage consent button appear.