Page 3 - Qualifying Payment Amount News Today

On November 30, 2022, the Texas Medical Association (TMA) filed a third lawsuit challenging the regulations implementing the No Surprises Act (NSA). TMA’s latest suit before the United...

In late September 2022, health care providers in Texas sued the Departments of Treasury, Labor, and Health and Human Services (collectively, the Departments) over a recently issued...

The No Surprises Act has reportedly done its job in preventing an estimated nine million surprise medical bills since going into effect at the start of this year, but for providers the law has created a revenue cycle and regulatory quagmire. Payment rates for out-of-network claims favor the insurer. The burden is on hospitals to determine whether patients are being billed

The Texas Medical Association has filed its third lawsuit against the No Surprises Act. The complaint was made Wednesday by the TMA and Tyler Regional Hospital in Texas in the U.S. District Court for the Eastern District of Texas. It is against the Department of Health and Human Services, which released the rule; the Department of Labor; and the Department of the Treasury. The

The No Surprises Act (NSA) was meant to relieve the financial burden from consumers and help prevent unexpected, and sometimes massive...

NET CASH FROM OPERATING ACTIVITIES OF $46.1 MILLION FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2022COMPANY REITERATES THAT IT EXPECTS TO OPEN 20 NEW ...

As many as 9 million surprise medical bills have been prevented since January due to the impact of the No Surprises Act, according to new data published by AHIP and the Blue Cross Blue Shield Association (BCBSA). Those claims from healthcare facilities and providers were subject to the protections of the law, which limit out-of-pocket costs for consumers. The number of those

Three physician groups are supporting a second lawsuit brought by the Texas Medical Association against the federal departments responsible for the No Surprises Act implementation. The American Society of Anesthesiologists, the American College of Emergency Physicians and American College of Radiology filed a joint amicus brief with the federal court in Texas on October 19 in

Although the “Requirements Related to Surprise Billing: Final Rule,” was released on August 19th, the No Surprises Act roll-out is far from complete. Its complexity means adherence, oversight, and enforcement, as well as system and process changes, are still works in progress.

On August 19, 2022, the US Departments of Health and Human Services, Labor, and Treasury, as well as the Office of Personnel Management, released a highly-anticipated final rule...