Surprise Medical Billing Rules Are Now in Effect – What You Need to Know to Comply
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Expansive surprise medical billing requirements under the No Surprises Act became effective on January 1 and impose substantial obligations on group health plans, health insurers, and health care providers and facilities. Plans, insurers, providers, and facilities must ensure they have completed operational and logistical steps to comply with the new requirements, including extensive changes to their reimbursement, claims processing, billing, appointment scheduling, service provider, notification, and disclosure practices.
Join us to understand the law and implementing regulations and how to confirm that your organization is in compliance.
Topics to be covered in our exclusive webinar include:
- Balance-billing restrictions on emergency and certain non-emergency services
- The notice and consent exception process
- Qualifying payment amount (QPA) calculations
- Independent dispute resolution (IDR) procedures
- Good Faith Estimates
- Reporting and disclosure requirements, and
- Enforcement and potential civil monetary penalties