Court Vacates No Surprises Act Regulations Favoring Payors in Reimbursement Disputes

Kathryn BeardFebruary 25, 2022

On February 23, 2022, a Texas district court found that portions of the No Surprises Act ...

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No Surprises Act 2022: What Physicians Still Need to Know

Kathryn BeardFebruary 10, 2022

On January 1, 2022, the federal No Surprises Act (NSA) went into effect. At its heart, the NSA aims to empower patients to make more informed financial decisions about their care while eliminating unexpected bills which, prior to NSA protections, have sometimes led to financially ...

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Outrageous Hospital Charges – Don’t Blame the Hospital

Dr. Ronald HirschFebruary 3, 2022

There has been a lot of media attention to hospital charges recently. With the COVID-19 pandemic, The Centers for Medicare & Medicaid Services (CMS) worked miracles to allow health systems to be paid a facility fee for many remote visits to cover the overhead costs of such visits. The price transparency regulations require more ...

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HFMA: New Surprise Billing Regulations - Assessing Patient Network Status

Nick HutJanuary 10, 2022

  • With new surprise billing regulations in place, providers should ensure they have efficient processes for gauging whether a patient is in-network.
  • For some providers, the task may prove to be more trouble than it’s worth in terms of opportunities to balance-bill patients.
  • The new regulations make communication ...

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HFMA: Surprise Billing Regulations and How Providers Should Prepare

Nick HutDecember 20, 2021

  • Providers have had a mere three months to implement the processes needed to comply with a new requirement to furnish uninsured patients with good-faith price estimates ahead of services.
  • A key early step for any provider is to determine whether it generally will be the entity responsible for providing estimates, i.e., the ...

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HIT Consultant: Improving Patient Experience Amid The No Surprises Act

Ogi KwonSeptember 10, 2021

With the No Surprises Act taking effect in less than four months, it is critical that hospitals and providers leverage technology to ensure patients are informed about their expected care costs prior to receiving services. Despite industry improvements in the last several years, there remains a pressing need for more meaningful price ...

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Medical Economics: Use Technology to Avoid Surprises from the No Surprises Act

Kathryn BeardAugust 17, 2021

As an industry, healthcare is moving from its highly complex, opaque landscape to one centered around transparency and delivering clear and straightforward financial experiences to patients. ...

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