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Healthcare Regulatory and Operational Summary

Sep 3, 2025

Summary

  • This meeting convened a large group of healthcare finance, consulting, and operations professionals to discuss recent regulatory updates, operational strategies, and best practices, with a focus on the No Surprises Act (NSA), revenue cycle changes, coding updates, and remote workforce management.
  • Presentations included overviews of the NSA requirements, panel discussions from major Maryland health systems, detailed updates on Maryland-specific payment and compliance changes, and a session on remote workforce best practices.
  • Key challenges discussed were adapting to evolving compliance rules, building effective workflows for estimates and billing, and maintaining organizational culture and communication in remote and hybrid work models.
  • Several open questions and follow-up actions were identified, particularly regarding interpretation of regulatory requirements, patient satisfaction, compliance workflows, and remote staffing strategies.

Action Items

  • (ASAP – Caroline/Sarah): Integrate and monitor Menti survey and polling results for ongoing attendee feedback and CPE certification tracking.
  • (Within 2 weeks – Jay, Jen, and Epic/Willow teams): Finalize Epic workflow adjustments for the JW and JZ pharmacy waste modifiers; confirm Maryland-specific compliance considerations.
  • (Ongoing – Revenue Integrity leads at UMMS, MedStar, others): Continue to monitor, report, and refine estimate accuracy by running regular Epic/TS reports; revalidate workflows and templates as needed.
  • (Before July 1st – Pharmacy/Willow/Revenue Integrity teams): Identify all medication records eligible for JW/JZ modifiers and implement necessary system changes ahead of federal deadline.
  • (Before January 1st – Charge Master/Revenue Integrity teams): Complete all facility charge master, technology code, and RVU updates for 2023 regulatory compliance.
  • (Ongoing – Lauren, Kalida): Ensure CPE certificates and door prizes are distributed to attendees; address any missing certificate requests.
  • (Ongoing – Remote Workforce Managers): Continue development of remote team engagement strategies and feedback loops; share effective practices across organizations.

No Surprises Act (NSA) Updates & Workflow Implementation

  • The NSA requires all-inclusive good faith estimates (GFEs) for uninsured/self-pay patients as of January 1; government plans are exempt.
  • Convening providers must coordinate closely with co-providers to ensure timely, accurate estimates; strict timeframes (1-3 business days) must be followed for estimate delivery.
  • Epic work queues and templates are in use for both hospital-based (HB) and professional-based (PB) services; ancillary and outsourced providers present challenges for estimate accuracy and responsibility.
  • Centralized teams are being repurposed where possible; staff education and scripting are critical to support patient transparency without deterring care.
  • Dispute resolution processes triggered when charges exceed GFE by $400; proactive internal reviews recommended to avoid such cases.
  • Patient dissatisfaction is significant, with complaints about multiple estimate/disclosure notifications; organizations are enhancing customer service training and considering dedicated escalation/governance structures.
  • Ongoing struggles persist in clarifying accountability for workflow ownership and ensuring all providers (including non-affiliated and ambulatory) understand NSA applicability.

Coding, Pharmacy, and Revenue Integrity Updates

  • Facility charge master updates for 2023 are less extensive than prior years, except in pharmacy, where new J-codes and waste modifiers (JW/JZ) are major focus areas.
  • Maryland’s unique global budgeting model complicates interpretation of certain CMS requirements (e.g., JW modifier), though all are advised to proceed as if compliance is expected.
  • Epic and macro Helix are primary tools for managing pharmacy billing and 340B reporting; integration challenges and compliance “sniff tests” remain necessary.
  • New CPT and technology codes require updates to HSCRC relative value units (RVUs), with resources and support available for pricing.
  • Major RVU clinic rate conversions went live July 1, 2022; telemedicine and psychiatry/behavioral health remain regulatory gray areas.
  • Next phase of Maryland’s HSCRC task force will focus on rehab therapy and audiology RVU conversion for July 2023; all stakeholders encouraged to join discussions.

Revenue Cycle, Denials, and Operational Trends

  • Workforce constraints (staff shortages, repurposing, turnover) are impacting reconciliation, denials management, and overall workload.
  • Denials—especially in ED and ER—present challenges due to payer-specific and often opaque criteria; revenue integrity teams are increasingly involved in operations and payor negotiations.
  • Pandemic-driven changes, technology downtimes, and ransomware preparedness are additional operational realities.
  • Emphasis placed on continuous education, peer networking, and cross-organizational collaboration to interpret regulations and share best practices.

Remote Workforce Management & Culture

  • Remote, hybrid, and flex workforce models are now mainstream, with varying adoption based on geography, leadership philosophy, and job functions.
  • Best practices for remote management include frequent transparent communication, structured check-ins (AM/PM huddles), project management tools (e.g., monday.com), and creative engagement activities (e.g., virtual happy hours, team challenges).
  • Team building and deliberate culture-building efforts are necessary to mitigate the risks of employee disengagement and high turnover.
  • Recruitment strategies increasingly specify (or discuss) remote/hybrid expectations; organizations differ in job ad wording and flexibility based on institutional culture, unions, and executive direction.

Decisions

  • Centralization of estimate generation teams — Chosen for efficiency and bandwidth, leveraging financial counseling expertise where possible.
  • Use of Epic/Willow for pharmacy JW/JZ modifier compliance — Decision to proceed following Epic’s recommended workflows, subject to ongoing manual review.
  • Standardized language and work queue naming in Epic for NSA processes — Adopted for ease of staff training and operational consistency.
  • Continued education campaign for all provider types regarding NSA applicability — To ensure compliance in ambulatory and non-affiliated settings.
  • Hybrid/remote job postings — Most organizations deciding job flexibility at time of posting or during recruitment, balancing applicant pool size with operational needs.

Open Questions / Follow-Ups

  • Will Maryland hospitals be officially exempt from JW/JZ pharmacy waste modifiers under CMS rules, or should all proceed with implementation?
  • How to best address ongoing patient dissatisfaction over multiple estimate/disclosure notices, especially for self-pay and regulated clinics?
  • What additional language or disclaimers are required in GFEs when using external/portal-sourced ancillary provider rates?
  • How will future RVU and regulatory changes (telemedicine, psychiatry, rehab) impact workflow and patient pricing explanations?
  • What further support and governance are needed to support customer service and escalation related to estimate disputes and complaints?
  • What are best practices to measure and improve employee engagement, satisfaction, and retention in remote/hybrid work settings?