skip to Main Content

Taking a Consultative Approach to the No Surprises Act

In December 2020, the No Surprises Act was signed into law as part of the Consolidated Appropriations Act. This multi-part law was designed to ensure that patients don’t have any out-of-network surprise costs when they receive their medical bills.

The law goes into e­ffect on January 1, 2022. Starting on this date, providers will not be able to bill patients for more than the in-network cost-sharing that is due under a patient’s insurance in most scenarios where surprise out-of-network bills tend to emerge. One exception to this rule is ground ambulance transport.

The law aims to protect patients from surprise bills; however, patients are not the only group of people to benefit from it. The law should also contribute to greater satisfaction between patients, providers, and payers by ensuring accuracy within provider networks.

Some payer policies and processes are a common source of frustration for doctors, particularly the administrative burden placed on physicians. However, by ensuring provider databases are updated at all times, some of these burdens may ease up or go away altogether.

In this guide, we will review the new law requirements along with strategies for implementing new processes that will ensure compliance. Download your complementary copy and get started.

Content Preview

Download This Resource
Back To Top