You need to know how to differentiate between what sections of the law apply to different types of healthcare professionals and facilities.
The No Surprises Act— one of the more confusing laws to regulate the healthcare industry —applies to hospitals, ambulatory surgical centers, free-standing emergency departments and air ambulance providers. The law, which takes effect Jan. 1, 2022, applies to medical professionals who bill for services provided at those facilities. The law also creates certain obligations to provide fee estimates that apply more broadly across the industry.
Essentially, the law requires that emergency services rendered at those facilities be treated as if they were in-network, even if the patient is out-of-network. For non-emergency services, patient consent will be required before a patient may be balance-billed for out-of-network care. But the law prohibits many professionals from even asking for consent to balance bill patients for services at the facilities, greatly reducing the scope of this “exception.”
Not all parts of the “No Surprises Act” will be enforced Jan. 1, 2022. This important webcast will explain which of those provisions will be effective, allowing healthcare providers to prepare accordingly in order to remain compliant.
Some elements of the No Surprises Act are effective Jan. 1, 2022, which means your team has little time to prepare for the new law.
Chief financial officers, Chief executive officers, physician advisors, case managers, Utilization Review committee members, coders and billers.
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