No Surprises Act Information and Resource Hub 

On January 1, 2022, the No Surprises Act took effect. It is intended to address unexpected gaps in insurance coverage that result in “surprise medical bills” when patients unknowingly obtain medical services from physicians and other providers outside their health insurance network. Because the Act imposes limits and confers some rights on physicians caring for patients in these situations, it is important for physicians to understand how the law will affect them.   


Below are links to resources to assist urology practices in the implementation of the No Surprises Act.  

 

Live and recorded educational offerings 

Ask a Genetic Counselor Forum: Incorporating “no surprise billing” into informed consent | May 24, 2022

Tools and Solutions to Address Surprise Billing   June 4, 2022 | Las Vegas 

AMA

AMA Toolkit

Implementation of the No Surprises Act

Implementing the No Surprises Act (Webinar)

 

CMS

Overview of rules & fact sheets

Frequently Asked Questions for Providers about the No Surprises rules (4/6/22)

Provider requirements and resources

Submit a billing complaint

What to expect when a patient starts payment dispute resolution

Overview of Public Health Service (PHS) Act Provider and Facility Requirements

Frequently Asked Questions (FAQs) about Consolidated Appropriations Act, 2021 Part 1 (12/21/21)

Frequently Asked Questions (FAQs) about Consolidated Appropriations Act, 2021 Part 2 (4/5/22)

Implementation- Good Faith Estimates

 

Additional Federal Resources

Requirements Related to Surprise Billing; Part I IFR

Requirements Related to Surprise Billing; Part II IFR

CMS No Surprises Website

Standard notice and consent forms for providers regarding consumer consent on balance billing protections

Model notices for good faith estimate and patient provider dispute resolution processes

 

PYA Healthcare No Surprises Act Implementation Guide

Part 1: Notice Requirements

Part 2: Good Faith Estimate Requirements

Part 3: Hospitals, Their Medical Staffs, and NSA Disclosure and Notice Requirements

Part 4: The Qualifying Payment Amount — Getting Your Ducks in a Row

Infographic: No Surprises Act: Good Faith Estimates Workplan

New Webinar: Day 12 and Counting – The No Surprises Act: Your Questions (Hopefully) Answered & What to Expect Going Forward

On-Demand Webinar: “Ready, Set, Go – No Surprises Act Takes Effect January 1, 2022”

On-Demand Webinar: “Complying With the No Surprises Act — A Guide for Physician Practices”

 

News Articles

Explaining Legal Challenges to No Surprises Act (3/21)

LUGPA Announcement Regarding Texas Surprise Billing Act Ruling 2/25 

Judge Strikes Down Part Of Administration’s Surprise Billing Rules In Win For Physicians 2/25

The No Surprises Act: A Final Checklist for 2022 2/24

Recent Guidance To Implement The No Surprises Act 2/18

Navigating the Federal Independent Dispute Resolution Process Within the No Surprises Act: Eight Traps for Unwary Providers 2/10

Provider groups push court to press pause on controversial surprise billing rule 2/10

Medical Associations Ask Federal Court for Summary Judgement in No Surprises Lawsuit 2/11

No Surprises Act: Expert insights to help doctors follow the law 2/1

LUGPA's Health Policy New Year's Update 1/4