New Federal Surprise Billing Law Now in Effect! What Do Physicians Need to Do?

March 1, 2022

ISMIE’s resource offers guidance on how to meet regulatory compliance
In December 2020, Congress passed the No Surprises Act (NSA) and many of its provisions took effect on Jan. 1, 2022. However, enforcement of certain aspects of the law could be delayed. Last week a federal judge ruled in favor of a physicians’ lawsuit that pertained to some of the regulatory aspects of the law not aligning with the outline provided by Congress. The judge’s ruling is expected to be appealed.
The intention of this legislation is to protect patients from unexpected medical bills incurred as a result of potentially confusing in-network/out-of-network relationships between physicians, healthcare facilities and insurance plans.
Specifically, the NSA was enacted to prevent patients from receiving “surprise bills” for services received from physicians or other healthcare professionals who are not part of the patient’s insurance plan provider network.
ISMIE’s new resource for policyholders, Surprise Billing: An Overview of the Federal No Surprises Act, offers guidance about what physicians need to address right now to be in compliance with the No Surprises Act. Please note that some states may already have laws in place that will impact implementation.
If you have questions, please contact us.
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