Tag Archives: data cleansing

The No Surprises Act is going into effect in January 2022. While we wait for the regulation details to materialize, it is important to understand your baseline today to get ahead of what’s to come.

Josh Schoeller, CEO of LexisNexis Risk Solutions Health Care, recently shared industry insights in a candid interview with HIStalk, a healthcare technology industry blog.

With political changes also come regulation changes. Though surprise medical billing has long been an issue, Congress recently passed HR 3630 containing the “No Surprises Act”, to remedy the problem. This latest bill applies to all group and individual health plans, with an effective date of January 2022. Among other things, this regulation requires that provider directories be updated on a regular basis, every 90 days.

The new “No Surprises Act” requires health plans to verify and update provider directory information at least every 90 days, which includes both individual providers and facilities. If you don’t have a plan to meet the requirements of the new regulation, it’s a good time to start.

Quality provider data is very important to healthcare organizations. In fact, in a recent survey[1]we conducted with data governance decision makers in provider organizations, 63% of respondents said that proper data governance improves care coordination across practices. These leaders also noted its importance to strategic planning (31% of respondents) and marketing (22%). Even so, organizations seem limited in their ability to maintain high quality provider data.