Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Out of Network Balance Billing

Payers, Providers Seek Delay for No Surprises Act Implementation, HHS Offers Some Relief

Both payers and providers are seeking some relief on the quick turn-around of the No Surprises Act, which is supposed to become effective January 1, 2022. And with the recent announcement of delays to certain portions of the Interim Final Rules implementing the surprise billing provisions of the act, it seems like the Biden administration is listening. READ MORE

Surprise Billing Interim Final Rule: What You Should Know

Earlier this month, healthcare providers and insurance plans got a more detailed look at how the No Surprises Act (NSA) will be implemented when the departments of Health and Human Services (HHS), Labor, and Treasury released a 411-page interim final rule that will go into effect on January 1, 2022. READ MORE

Planning Ahead for No Surprises Act Implementation

The No Surprises Act, which was signed into law in December 2020, won’t go into effect until at least January 1, 2022. But that isn’t slowing down provider groups from working to ensure the details of the bill, which will be administered through by agencies like the Departments of Health and Human Services, Labor, and Treasury, are ironed out with their interests in mind. READ MORE

Latest COVID-19 Relief Package: What Physicians Can Expect

An 11th-hour COVID-19 relief package was approved by both houses of Congress a few days before Christmas and signed into law by President Trump a few days after. The legislation, second in size only to the CARES Act passed last spring in the early days of the pandemic, provides wide-ranging relief to multiple sectors throughout the country, including physicians. READ MORE

Indiana Legislates Fewer Surprise Bills for Patients at In-Network Facilities

New regulations intended to reduce out-of-network balance billing, or so-called “surprise billing,” by Indiana physicians are set to take effect July 1, 2020. H.B. 1004 ensures that patients who go to an in-network hospital will not receive surprise bills from out-of-network physicians. As well, the new law requires hospitals and physicians to provide good faith estimates to patients when requested. READ MORE

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