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No Surprises Act

Don’t be Surprised by the No Surprises Act! Its regulations take effect January 1, 2022. Review this webinar, presented by our professional government relations consultants at Hart Health Strategies, Inc., to:
•    Understand its potential impact on practicing A/I professionals in various healthcare settings
•    Plan and implement strategies to comply with its regulations, including the broad requirements to provide a Good Faith Estimate (GFE) for uninsured (and self-pay) individuals
•    Review whether pending lawsuits against the federal government may affect its regulations for patient protections and provider obligations

Refer to additional related information provided by the Centers for Medicare and Medicaid Services (CMS). For uninsured or self-pay patients, practices must be prepared to provide a Good Faith Estimate of expenses. Refer to the Good Faith Estimate Template to get started.

April 6, 2022
The Centers for Medicare and Medicaid Services (CMS) published this document today that contains information on frequently asked questions from providers and facilities regarding No Surprises rules, independent dispute resolution, and exceptions to the new rules and requirements. This document further summarizes current policy and operations. Review the American Medical Association (AMA) Disputing out-of-Network Payments resource available here for insights into the independent dispute resolution (IDR) system for physicians and office administrators and/or their billing departments.

January 1, 2022
Federal agencies have issued several regulations to implement the provisions of the No Surprises Act. This document aims to highlight five takeaways that may be of interest to any practice, regardless of whether practitioners typically provide services in emergency departments.

Review the American Medical Association (AMA) No Surprises Act physician toolkit available here for more insight.

December 22, 2021            
Review these Frequently Asked Questions prepared by the Department of Health and Human Services (HHS) to address the provision of Good-Faith-Estimates (GFEs) for uninsured (or self-pay) individuals.

September 30, 2021
The U.S. Department of Health and Human Services HHS) (with the Centers for Medicare and Medicaid Services (CMS)), the Department of the Treasury1 (with the Internal Revenue Services (IRS)), the Department of Labor (with the Employee Benefits Security Administration (EBSA)), and the Office of Management (OPM) (collectively in this summary, “the Departments”) released the interim final rule with comment (IFC), Requirements Related to Surprise Billing; Part II. This second IFC takes steps to implement several provisions of the No Surprises Act, primarily focusing on the federal independent dispute resolution (IDR) process for disputes over items and services eligible to elect federal IDR. Read more.

September 10, 2021
The U.S. Department of Health and Human Services HHS), the Department of the Treasury (with the Internal Revenue Services (IRS)), the Department of Labor (with the Employee Benefits Security Administration (EBSA)), and the Office of Personnel Management (OPM) (collectively in this summary, “the Departments”) released a proposed rule, Requirements Related to Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcement. Read more.

July 1, 2021
The U.S. Department of Health and Human Services HHS) (with the Centers for Medicare and Medicaid Services (CMS)), the Department of the Treasury (with the Internal Revenue Services (IRS)), the Department of Labor (with the Employee Benefits Security Administration (EBSA)), and the Office of Personnel Management (OPM) (collectively in this summary, “the Departments”) released the interim final rule with comment (IFC), Requirements Related to Surprise Billing; Part I. Read more.