Effective January 1, 2022, the federal No Surprises Act prohibits surprise billing for emergency services and non-emergency services furnished by an out-of-network provider in an in-network facility. The new law establishes a specific process to determine the amounts owed by patients and payers.
PYA Principal Martie Ross presented on this topic at the Iowa Hospital Association Annual Meeting. Her session, “Complying With the No Surprises Act,” provided a practical explanation of statutory and regulatory requirements and highlighted the immediate action required for compliance. She covered:
- The legislative history of the No Surprises Act.
- The duties imposed on providers and payers by the new law.
- The specific actions necessary to comply with regulatory requirements.
The meeting was held virtually October 5-7, 2021.
If you would like additional guidance related to the No Surprises Act, or for assistance with any matter related to compliance, valuation, or strategy and integration, contact a PYA executive below at (800) 270-9629.