Recent regulatory changes have been challenging but it’s time for the industry to leverage them strategically
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36 Search Results for “No Surprises Act”
In a recent video, Matthew Albright discusses a recent ruling regarding NSA QPA policy. Get the highlights here.
The No Surprises Act was signed into law on December 27, 2020. It represents a significant change in the way certain out-of-network providers can bill and be reimbursed for certain out-of-network services. Here’s a brief overview.
No Surprises Act and Transparency in Coverage Rule Configurable solutions, legislative expertise and guidance to…
According to a recent survey by Zelis, the leading payments company in healthcare, nearly all (95%) healthcare insurers expressed concern about the ability of the healthcare system to achieve compliance with the NSA by the deadline. While some states – Colorado, New Mexico, Texas and Washington – have existing balance billing laws to protect patients from unexpected and excessive healthcare costs, the NSA brings more complexity to the pricing, negotiation and settlement, and arbitration processes at a national level.
The technical guidance isn’t fully available and details are slow to emerge but the compliance dates remain the same. Here’s our approach for machine-readable files.
CMS has been doing quite a bit of work surrounding NSA and TiC. Of those latest rulings, here are a few of particular importance.