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Reminder: No Surprises Act Provisions Take Effect Beginning January 1, 2022
Effective Jan. 1, 2022, facilities and providers will need to adhere to several new policies required by the No Surprises Act. Specifically, facilities and providers will not be permitted to balance bill patients in certain out-of-network scenarios unless certain conditions are met, they must provide uninsured and self-pay patients with good faith estimates for most scheduled services (or upon request), and they must provide patients with disclosures of their new rights.
Hospital and Physician Groups File Lawsuit Over No Surprises Act Final Rules That Jeopardize Patient Access to Care
The American Hospital Association (AHA) and American Medical Association (AMA) sued the federal government today over the misguided implementation of the federal surprise billing law. The associations are joined in the suit by hospital and physician plaintiffs, including Renown Health, UMass Memorial Health and two physicians based in North Carolina.
AHA Urges Agencies to Revise Surprise Medical Billing Rule
AHA today strongly urged the departments of Health and Human Services, Labor and Treasury and Office of Personnel Management to restore the independence of the independent dispute resolution process in the No Surprises Act Part 2 regulations.
No Surprises Act: Updated CMS Documents for Notice and Consent and Public Disclosure Forms
The Centers for Medicare & Medicaid Services (CMS) has released six documents updating previous guidance implementing the No Surprises Act requirements regarding Standard Notice and Consent Forms and Model Public Disclosure Notices.
CMS Releases Implementation Guidance on No Surprises Act Good Faith Estimates, Patient-Provider Dispute Resolution Process
The Centers for Medicare & Medicaid Services (CMS) has released 11 documents related to the agency’s regulations implementing the No Surprises Act good faith estimates for uninsured and self-pay patients and the patient-provider dispute resolution process.
Use Model Letter to Submit Comments on Interim Final Rule on Requirements Related to Surprise Billing, Part 2
The departments of Health and Human Services, Labor, and Treasury, along with the Office of Personnel Management, Sept. 30 released “Part 2” of regulations implementing the No Surprises Act. The AHA has developed a model comment letter that hospitals and health systems can use to assist with submitting their own comments to the agencies.
House Passes Build Back Better Act with Significant Health Care Provisions
The House of Representatives today voted to pass a modified version of the Build Back Better Act (H.R. 5376), a roughly $1.75 trillion social spending package that includes many health care provisions. The bill, which is being considered under reconciliation procedures, is likely to undergo significant changes as it moves through the Senate in the coming weeks.
Lawmakers Urge Regulators to Implement No Surprises Act Dispute Resolution as Intended
Lawmakers Urge Regulators to Implement No Surprises Act Dispute Resolution as Intended.
Special Bulletin: CMS Issues Hospital Outpatient/ASC Final Rule, Including Modifications to Price Transparency Rule
The Centers for Medicare & Medicaid Services (CMS) yesterday released its calendar year (CY) 2022 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) final rule that updates payment rates and makes several policy changes, generally effective on Jan 1, 2022.