No Surprises Act prohibits balance billing, creates arbitration process for out-of-network providers
Effective January 1, 2022, the “No Surprises Act” signed into U.S. law as part of H.R. 133, “Consolidated Appropriations Act, 2021,” implicates (1) emergency services provided by non-participating ...
On July 1, 2021, the Office of Personnel Management (“OPM”), the Internal Revenue Service (“IRS”), the Department of Treasury (“Treasury”), the Employee ...
Surprise medical bills occur when patients cannot avoid being treated by providers outside their health plan’s contracted network – either because the provider is not chosen by the patient, for ...
The Biden administration released Thursday the latest final rule to implement a ban on surprise medical bills, detailing how disputes over out-of-network charges will be handled. The interim final ...
The number of balance billing disputes reaching arbitration is far higher than federal projections suggested, according to new data from the Biden administration. The Centers for Medicare & Medicaid ...
It’s a situation that occurs all too often: Someone goes to the emergency room and doesn’t learn until he gets a hefty bill that one of the doctors who treated him wasn’t in his insurance network. Or ...
On June 26, 2019, the Senate HELP Committee approved S. 1895, a bill that includes provisions to address surprise medical bills, on a bipartisan 20–3 vote. The broad support reflects the agreement ...
Consumer protection officials have downgraded the issue of surprise balance bills from one of the biggest consumer challenges to "barely an issue" since the Emergency Services and Balance Billing Law ...
Surprise medical bills have become a rallying point for healthcare advocates, patients and providers who are frustrated with oblique pricing practices and narrowing payer networks. Here are 20 things ...
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