tci Medicare Compliance & Reimbursement - 2022 Issue Q1

Balance Billing: CMS Updates CAA Data With No Surprises Act Enforcement Letters

Review your state’s letter — and specific state regulations. As the feds continue to roll out No Surprises Act (NSA) reforms, a recent update aims to clarify confusion. But the guidance, which focuses on individual states’ compliance and regulation alignment, isn’t as clear as you’d hope, especially for providers operating in states with divergent consumer laws. Refresher: In December 2020, as part of the Consolidated Appropriations Act, 2021 (CAA), Congress outlined its plans for the No Surprises Act. The first interim final rule with comment period (IFC), “Requirements Related to Surprise Billing: Part I,&rdquo...

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