Surprise Billing

On Dec. 27, 2020, the No Surprises Act was signed into law as part of the Consolidated Appropriations Act of 2021 (H.R. 133; Division BB – Private Health Insurance and Public Health Provisions). The No Surprises Act addresses surprise medical billing at the federal level. Most sections of the legislation go into effect on Jan. 1, 2022, and the Departments of Health and Human Services, Treasury, and Labor are tasked with issuing regulations and guidance to implement a number of the provisions.

Below are resources to assist hospitals as they comply with the new regulations:

• August 27 Webinar-Registration (gotowebinar.com)
• AHA Implementation Guide
• CMS 10791 Forms
• CMS FAQ Document for Good Faith Estimates
• CMS Model Disclosure
• CMS Standard Notice
• CMS Supporting Statement
• PYA 10/20/21 Webinar Slides
• PYA 11/30/21 Webinar  Slides | Recording
• AHA/HFMA No Surprises Act FAQs
• THA NSA Part II Comments
• CMS NSA Slides 1/26/22
• Federal Independent Dispute Resolution (IDR) Process: Guidance for Disputing Parties
• Surprise Billing Webinar – April 2022  Slides | Recording
• No Surprises Act Update Webinar  Slides | Recording

Important Topics:

• Price Transparency
• Site Neutrality
• Surprise Billing