The first regulation implementing the No Surprises Act is out. This law protects patients from most surprise bills starting in 2022
cms.gov/files/document…
cms.gov/files/document…
In the standard notice and consent form for Surprise Billing Protections, if patients don't have sign, plans are required to help patients find an alternate in-network provider or work out a payment agreement with the out-of-network provider. 
Supporting PRA docs available here: cms.gov/httpswwwcmsgov…
The Surprise Billing IFR 1 includes:
-patient disclosures letting them know of their protections
-patient notice and consent requirements for out-of-network charges
-out-of-network payment, including patient cost-sharing, based on all-payer model agreements or QPA
-patient disclosures letting them know of their protections
-patient notice and consent requirements for out-of-network charges
-out-of-network payment, including patient cost-sharing, based on all-payer model agreements or QPA
The surprise billing IFR defines what's considered emergency and warns that plans can't retroactively (based on final diagnosis codes) decide an emergency visit was not urgent.
...can check this Q off the list.
...can check this Q off the list.
https://twitter.com/KrutikaAmin/status/1410277721221963777?s=20
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