On January 1, 2022, the federal No Surprises Act will become effective. The new law prohibits surprise billing for emergency services and non-emergency services furnished by an out-of-network provider in an in-network facility. It also establishes a specific process to determine the amounts owed by patients and payers.
PYA Principal Martie Ross and Senior Manager Kathy Reep presented on this topic at the New Mexico Hospital Association (NMHA) Annual Meeting. The session, “Complying With the No Surprises Act,” provided a practical explanation of statutory and regulatory requirements and highlighted immediate actions required for compliance. They covered:
- The legislative history of the No Surprises Act.
- Provider and payer responsibilities under the new law.
- The specific actions necessary to comply with regulatory requirements.
The meeting was held in person September 29-30, 2021.
Contact the NMHA for more information here.
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.
