Federal Surprise Billing Prohibition Impacts Doctors!

January 11, 2022

Changes are now in effect at the federal level to protect patients from surprise bills for medical services. As of Jan. 1, 2022, the No Surprises Act directs that out-of-network physicians (who provide care at in-network facilities) may not bill patients for any amount beyond the patient’s in-network cost sharing obligation.
The American Medical Association (AMA) offers a Toolkit for Physicians: Preparing for Implementation of the No Surprises Act. The toolkit is divided into three parts, focusing on operational challenges that physicians need to address immediately to be compliant with the new requirements:
  • Part I: Non-emergency services at in-network facilities
  • Part II: Emergency services and post-stabilization care at hospitals or freestanding emergency departments
  • Part III: Good faith estimates (GFEs) for self-pay and uninsured patients
Be sure to access AMA’s comprehensive free Toolkit!
Learn what is happening in Illinois related to surprise billing.
If you have questions, please contact us.
Share this article:

Cookie Consent

Cookies are required for some functionality on our site. View our privacy policy for more information.