The Biden Administration has released final surprise billing rules implementing the No Surprises Act, a federal law enacted in January 2021 that protects patients from out-of-network medical bills when...
A surgeon from New York has lost a challenge of the No Surprises Act, a federal law enacted earlier this year that bans providers from surprise billing their patients for out-of-network...
The Medical Group Management Association (MGMA) has asked CMS and HHS to provide medical group practices with at least six months’ notice before enforcing any additional surprise billing...
CMS has released Frequently Asked Questions (FAQs) on the No Surprises Act implementation, providing details about balance billing and notice and consent prohibitions.
The No Surprises Act prohibits...
The American Medical Group Association (AMGA) has asked CMS to amend aspects of the good faith estimate (GFE) requirements that contain unclear guidance, exacerbate staffing constraints, and create...
The Medical Group Management Association (MGMA) has asked CMS to update the federal independent dispute resolution (IDR) portal to streamline the arbitration process for determining an out-of-network...
The Colorado Supreme Court has ruled that a woman is not liable for her $229,000 surprise bill from a Centura Health hospital, as the hospital did not disclose the amount to her before the...
HHS has requested a hold on its recent appeal of a Texas federal court ruling regarding the interim final rule on surprise billing, according to reporting from the American College of Emergency...
CMS has updated its surprise billing guidance to require independent dispute resolution (IDR) entities to consider more than just the qualifying payment amount (QPA) when determining reimbursement...
The American Hospital Association (AHA) and the American Medical Association (AMA) have asked the US District Court for the District of Columbia to vacate the independent dispute resolution (IDR)...
The majority of consumers faced surprise medical bills in 2021 and expressed concern about financial hardships due to outstanding healthcare costs, InstaMed’s 12th annual Trends in Healthcare...
The Workgroup for Electronic Data Interchange (WEDI) expressed concerns to CMS regarding the good faith estimates policy under the No surprises Act and the problems it causes for providers and patients...
The American Hospital Association (AHA) has asked CMS to adjust the good faith estimates policy under the No Surprises Act, citing the accompanying administrative burden and operational inefficiencies...
4/26/2022 update: This article has been updated to include the decision from HHS to appeal the ruling.
A federal judge in Texas has ruled in favor of the Texas Medical Association (TMA) in a surprise...
The cost of emergency ground ambulance services increased by 22 percent from 2017 to 2020, giving advanced life support ambulance rides a price tag of more than $1,200, according to a white paper from...
Physician practices are struggling to comply with the No Surprises Act’s good faith estimate requirements, which went into effect on Jan. 1, 2022. The new federal law requires all providers to...
A coalition of physician organizations filed an amicus curiae brief stating HHS’ surprise billing independent dispute resolution (IDR) process will result in an increase in...
A new survey uncovered the top four barriers hospitals and health systems are confronted with in their efforts to prevent surprise medical bills.
In the survey commissioned by AKASA and performed by...
The nation’s leading hospital and physician groups have filed a lawsuit against the federal government over final rules implementing the independent dispute resolution (IDR) process detailed in...
A letter from the American Medical Group Association (AMGA) called on CMS to revise the interim final rule implementing the No Surprises Act, explicitly changing legislation that favors...
