AAPM&R National Grand Rounds: No Surprises Act: Three Things You Need to Know Now about Surprise Billing-Session Presentation

Video Transcription

Video Summary

The video provided an overview of the No Surprises Act and its implications for healthcare providers. The Act was passed at the end of 2020 to address surprise billing and balance billing. It applies to both emergency and non-emergency care provided by out-of-network providers at in-network facilities. The Act prohibits balance billing and establishes cost-sharing protections for patients. Providers are required to provide patient disclosures, including information about the Act's protections and how to file complaints. They must also provide a good faith estimate of charges for uninsured or self-pay patients. The Act also establishes a federal independent dispute resolution process for payment disputes between providers and payers. The video emphasized that providers should stay informed about state laws and regulations as well as ongoing litigation related to the Act. Overall, the Act aims to protect patients from unexpected medical bills and increase transparency in healthcare pricing.

Keywords

No Surprises Act

healthcare providers

surprise billing

balance billing

emergency care

cost-sharing protections

patient disclosures

good faith estimate

independent dispute resolution