The No Surprises Act (NSA) went into effect on January 1, 2022. This law is designed to protect patients from surprise medical bills, also known as balance bills, in emergency and non-emergency situations and creates a mechanism for physicians and payors to address the bills for medical services. This Act ensures that patients are only responsible for in-network cost-sharing, requires that patients be provided certain information including up-to-date directories, and creates an independent dispute resolution process to ensure physicians and health insurers can resolve billing disputes. There is information that medical practices should post publically on their website to comply with this new law. Let’s take a deeper dive.
Under the No Surprises Act, there are instances in which patients can knowingly and voluntarily waive their balance billing protections and consent to be billed for out-of-network services. Notice and consent requirements are met if:…
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