tci Medicare Compliance & Reimbursement - 2022 Issue Q4

No Surprises Act: Feds Offer Another NSA Update With Final Rule

The latest IDR changes provide clarity on the process. With a third rule in circulation, the feds are modifying the No Surprises Act (NSA) … again. But this time, it looks like a critical court decision may have helped clarify some points in the balance billing opus. Background: When the feds first drafted their NSA plans in the Consolidated Appropriations Act, 2021 (CAA) in December 2020, hopes were high to alleviate surprise billing woes with patient-centered policies — especially in the midst of a pandemic. But the NSA rollout hasn’t been easy, with myriad changes and a long...

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