Advance Explanation News Today : Breaking News, Live Updates & Top Stories | Vimarsana

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Effective January 1, 2022, the “No Surprises Act” signed into U.S. law as part of H.R. 133, “Consolidated Appropriations Act, 2021,” implicates (1) emergency services provided by non-participating providers at participating facilities; (2) non-emergency services performed by non-participating providers during a visit at certain participating facilities; and (3) air ambulance services. The law establishes maximum patient out-of-pocket amounts, which generally cannot be more than the amount that would have been charged to the patient had the services been provided by a participating provider or facility. It also prohibits balance billing, but creates an advance beneficiary notice (ABN)-like process applicable to services furnished by non-participating providers at participating facilities to permit providers to balance bill under certain circumstances. Additionally, the law establishes an Independent Dispute Re ....

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