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Surprise Billing Regulations: Out-of-Network Providers at In-Network Facilities | K&L Gates LLP

Surprise Billing Regulations: Out-of-Network Providers at In-Network Facilities | K&L Gates LLP
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No Surprises Act Regulations Providing Guidance for Employer Plans

Wednesday, July 21, 2021
Plan participants can be hit with surprise medical bills when they receive care from out-of-network providers. Sometimes, this happens when participants do not know that the care they are receiving is from an out-of-network provider, like when they have surgery at an in-network facility only to find that the facility-appointed anesthesiologist, for example, is out-of-network. Now, employers have a bit more clarity about how those surprise medical bills are supposed to be paid, beginning January 1, 2022, under new “No Surprises Act” regulations.
The U.S. Department of Labor (DOL), U.S. Department of Health and Human Services, and U.S. Department of the Treasury have issued guidance focused on Section 102 of the No Surprises Act, which was enacted as part of the Consolidated Appropriations Act (CAA), 2021 in December 2020. The guidance, in the form of an interim final rule (IFR) and a request for public comments, applies to the fi ....

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Initial No Surprises Act Regulations Provide Some Clarity for Employer Plans | Ogletree, Deakins, Nash, Smoak & Stewart, P.C.

Initial No Surprises Act Regulations Provide Some Clarity for Employer Plans | Ogletree, Deakins, Nash, Smoak & Stewart, P.C.
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Surprise! Biden Administration Releases Surprise Billing Guidance | Kilpatrick Townsend & Stockton LLP

Surprise! Biden Administration Releases Surprise Billing Guidance | Kilpatrick Townsend & Stockton LLP
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The No Surprises Act: Implications for Health Plans, Health Care Facilities, and Health Care Providers | Epstein Becker & Green

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Following months of congressional negotiations, on December 27, 2020, President Trump signed into law the Consolidated Appropriations Act, 2021, a $2.3 trillion piece of legislation that includes $900 billion in federal funding and relief for COVID-19.[1] The legislation also includes the No Surprises Act (“Act”), effective January 1, 2022, which significantly bolsters consumer protections for patients by addressing the circumstance of patients receiving “surprise bills” for health care services.[2] While we expect the Biden administration to issue regulations implementing the Act within the next year, stakeholders should be aware of the Act’s many new obligations on health plans,[3] health care facilities, and health care providers. ....

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