HHS, DOL and Treasury Issue a Proposed Rule Increasing Federal IDR Fees, October 3, 2023 No Surprises Act Update: The TMA III Decision, August 31, 2023 Implementation of the No Surprises Act Is Full of Surprises: What We Do and Don’t Know, August 17, 2023 No Surprises Act Update: Lit...
No Surprises Act Your Rights and Protections Against Surprise Medical Bills When you get emergency care or receive treatment by an out-of-network provider at anin-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. What is “balance billing...
The No Surprises Act gives you the right to appeal your health plan’s decisions to incorrectly deny or apply out-of-network cost sharing to surprise medical bills, first to the health plan, and then, if the plan upholds its decision, to an independent external reviewer. The federal governme...
03.30.2023 Joanne Roskey and Dawn Murphy-Johnson* will present the PLI webinar "No Surprises Act Enforcement: How to Prepare for a DOL Audit," on March 30, 2023, at 1 p.m. ET. This program will discuss the No Surprises Act (NSA) and how it impacts ERISA plans and their administra...
Address the complex requirements introduced by federal regulations through highly configurable solutions, legislative expertise, and guidance from Zelis.Connect with us Dive Deeper Minimize the impact of new regulations. The No Surprises Act (NSA), signed into law in December 2020, seeks to protect ...
When you get emergency care or you’re treated by an out-of-network provider at an in-network hospital, or ambulatory surgical center or by an air ambulance provider, you are protected from surprise billing or balance billing. Federal No Surprises Bill Act Disclosure – English (PDF) ...
Effective January 1, 2022, the No Surprises Act, which Congress passed as part of the Consolidated Appropriations Act of 2021, is designed to protect patients from surprise bills for emergency services at out-of-network facilities or for out-of-network p
On July 13th, group health plans and health insurance issuers subject to the Federal No Surprises Act (the “Act”) received the first phase of interim final rules promulgated under the Act (the “Rules”) and issued by the Office of Personnel Management, Department of Labor (DOL), Departmen...
The No Surprises Act banned surprise billing and established a final-offer arbitration system, independent dispute resolution (IDR), to resolve disagreements between health plans and providers. One factor that arbiters must consider in the IDR process is the qualifying payment amount (QPA), the ...
Doctors of chiropractic are no strangers to documentation, processes or red tape.And so, when Congress passed the No Surprises Act (NSA) a couple of years ago, many DCs rolled their eyes and thought, “Sigh. This is more paperwork on top of even more paperwork.” ...