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But the cost of submitting a dispute may surprise you. The intent of the No Surprises Act, signed into law in 2020, is to protect patients who receive care from out-of-network providers at in-network facilities and air ambulance services from exorbitant and unexpected balance billing. The problem is that not everyone agrees with the rules […]
The post IDR Payment Determinations Resume Under No Surprises Act appeared first on AAPC Knowledge Center.
Legal actions continue concerning the NSA’s independent dispute resolution process. The second interim final rule (IFR) related to the No Surprises Act (NSA) — legislation that regulates surprise billing in emergency and out-of-network healthcare settings to protect patients from unexpected medical expenses — was released in September 2021 (the September Rule) and, in part, included […]
The post No Surprises Act IDR Process Challenged in Court appeared first on AAPC Knowledge Center.
Don’t let this 2022 regulation catch your organization off guard. Born out of the Consolidated Appropriations Act, 2021 of the 116th Congress, the No Surprises Act (NSA) should be called anything but that. My opinion, of course! Unless you’re an attorney, reading Congressional documents leaves much to be desired. However, the complexities of the NSA […]
The post Nuances of the No Surprises Act appeared first on AAPC Knowledge Center.
The recently enacted No Surprises Act protects against most surprise billing — but not ground ambulances. The No Surprises Act (NSA), which went into effect on Jan. 1, 2022, protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at […]
The post Ground Ambulances Left Out of No Surprises Act appeared first on AAPC Knowledge Center.