Wednesday, October 20, 2021

Biden Administration Adds Payment Resolution Process to No Surprise Act

30 September (WNN) — The Biden administration on Thursday released details about payment dispute resolution procedures under the law banning surprise medical billing.

The Departments of Health and Human Services, Labor and Treasury, along with the Office of Personnel Management, issued an interim final rule to enforce the No Surprise Act providing a payment dispute resolution process for uninsured or underpaid individuals.

Additionally, the final rule includes procedures to remove consumers from payment disputes between providers and health plans, requirements for health care cost estimates for insured or self-paying individuals, and expanded powers for external review.

“No one should go bankrupt over a surprising medical bill,” HHS Secretary Javier Becerra said. “With today’s ruling, we continue to give the President [Joe] Biden’s competition executive order by promoting price transparency and highlighting the increased cost of health care. Our goal is simple: to give Americans a better deal than a more competitive health care system.”

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The No Surprise Act was signed into law last December and banned the practice of unexpectedly charging patients for out-of-network care.

The administration has implemented two previous rules related to the law, one implemented earlier this month to help collect data on the air ambulance provider industry and another on consumer protection against sudden billing in July.

The rules will collectively take effect from January 1, 2022.

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