The No Surprises Act, passed by Congress at the end of last year, bans balance billing for out-of-network (OON) services starting in 2022 and establishes a back-stop independent dispute resolution process to ensure that clinicians and facilities are paid appropriately for the OON services they deliver. ACEP has advocated on behalf of emergency physicians for two years on this issue and believes the No Surprises Act represents a reasonable solution to this issue, given how damaging initial Congressional proposals would have been for emergency physicians. The interim final regulation was issued by Department of Health and Human Services on July 1, and ACEP’s Director of Regulatory Affairs Jeff Davis provides a breakdown of this regulation and how it affects emergency medicine on his Regs & Eggs blog.
Surprise Billing Legislation Enters Implementation Phase
Topics: LegalReimbursement & Codingsurprise billing
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