tci Medicare Compliance & Reimbursement - 2024 Issue Q1

No Surprises Act: Feds’ Balance Billing Opus Continues To Evolve

Lawsuits, fee changes, and proposals abound. Since its inception, turmoil has surrounded the No Surprises Act — and that doesn’t seem to be going away any time soon. Read on for the latest changes on the feds’ surprise billing regulations. Reminder: Since Congress enacted the No Surprises Act as part of the Consolidated Appropriations Act, 2021 (CAA), there has been a whirlwind of interim final rules, stops and starts, lawsuits, and more. Here’s a brief timeline of the recent history of the legislation and the Centers for Medicare & Medicaid Services (CMS) rules: On Dec. 27, 2020...

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