Surprise Medical Billing for Providers and Facilities: Key Takeaways and Compliance Steps | Practical Law

Surprise Medical Billing for Providers and Facilities: Key Takeaways and Compliance Steps | Practical Law

An Article describing the key takeaways and compliance steps for health care providers and facilities under the No Surprises Act (part of the Consolidated Appropriations Act, 2021 (CAA-21)), which provides federal protections against certain types of surprise medical billing. This Article outlines provisions of the No Surprises Act that providers and facilities should be aware of and comply with including the prohibitions on balancing billing, the notice and consent exception process, disclosure requirements, good faith estimates, the Independent Dispute Resolution (IDR) process, and the patient-provider dispute resolution process.

Surprise Medical Billing for Providers and Facilities: Key Takeaways and Compliance Steps

by Practical Law Health Care
Published on 06 Apr 2022 • USA (National/Federal)
An Article describing the key takeaways and compliance steps for health care providers and facilities under the No Surprises Act (part of the Consolidated Appropriations Act, 2021 (CAA-21)), which provides federal protections against certain types of surprise medical billing. This Article outlines provisions of the No Surprises Act that providers and facilities should be aware of and comply with including the prohibitions on balancing billing, the notice and consent exception process, disclosure requirements, good faith estimates, the Independent Dispute Resolution (IDR) process, and the patient-provider dispute resolution process.