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The January 1 compliance date is just around the corner, yet key elements of the NSA are still missing. In July, the U.S. Department of Health and Human Services (HHS), Labor, and Treasury, and the Office of Personnel Management issued the first interim final rule, or set of requirements, for the No Surprises Act (NSA) […]
The post Surprise Billing Ban Compliance Date Weeks Away appeared first on AAPC Knowledge Center.
Second interim final rule implements additional protections and addresses the independent dispute resolution process. On Sept. 30, 2021, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury (the Departments), along with the Office of Personnel Management (OPM), released an interim final rule (IFR) with comment period, […]
The post Next Interim Final Rule for Surprise Billing Ban Released appeared first on AAPC Knowledge Center.
Payers and hospitals call for a delay until 2023 as they wait for key elements of the NSA to be released and an end to the public health emergency. As the Jan. 1, 2022, compliance date for the No Surprises Act (NSA) that bans surprise (balance) billing approaches, insurers and hospitals are asking to delay […]
The post Industry Pushes Back Against Looming Surprise Billing Ban Compliance Date appeared first on AAPC Knowledge Center.
Interim final rule lays groundwork for implementing No Surprises Act by 2022. On July 1 the U.S. Department of Health and Human Services (HHS), Labor, and Treasury, and the Office of Personnel Management issued Requirements Related to Surprise Billing; Part I, an interim final rule (IFR) that is a first step toward implementing the No […]
The post Feds Act to Regulate Surprise Billing appeared first on AAPC Knowledge Center.
Hurdles set by commercial carriers require out-of-network groups to tighten billing management and foster full financial transparency. Most non-participating providers learn that out-of-network reimbursement can be higher than in-network reimbursement. The two drawbacks to remaining out of network — higher patient out-of-pocket costs and exclusion from participating provider listings — may be remedied by waiving […]
The post Get Over the Pitfalls of Out-of-network Surprise, Balance Billing appeared first on AAPC Knowledge Center.
Nearly every section in the code book has updates: The stakes are high that your coding is affected. CPT® 2019 includes 212 new Category I and III codes, 50 revised code descriptors, and 71 deleted codes — plus revised introductory guidelines, and new and revised parenthetical references. Nearly every section of the code book (except […]
The post Any Way Spin It, CPT® 2019 will Surprise You appeared first on AAPC Knowledge Center.
The New Jersey (NJ) governor signed a new law designed to curb the impact of costly “surprise” medical bills when a patient sees a non-participating provider during an admission. The bill is quite complex but tries to balance the needs of patients, insurance companies, providers, and facilities. Supporters said the law, which has been 10 […]
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The DOJ has been busy reclaiming billions of federal healthcare dollars. It’s impressive that the U.S. Department of Justice (DOJ) Office of Public Affairs can send out a press release with the headline Justice Department Recovers Over $ 3.7 Billion From False Claims Act Cases in Fiscal Year 2017. It shows that, last year, the government […]
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