Live Webinar | The No Surprises Act Interim Final Rules
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Live Webinar | The No Surprises Act Interim Final Rules
July 23, 2021
On July 1, 2021, the U.S. Departments of Health and Human Services, Labor, and Treasury, along with the Office of Personnel Management (collectively, the “Departments”), issued an interim final rule (“IFR”) to explain provisions of the No Surprises Act (the “Act”) that passed as part of sweeping COVID-19 relief legislation signed in December 2020. The Act and IFR aim to protect consumers from excessive out-of-pocket costs resulting from surprise and balance medical billing.
The webinar will provide a high-level review of the following:
The requirement for group health plans to treat emergency services as in-network, without requiring pre-authorization, regardless of where they are provided.
Patient cost-sharing requirements, such as co-insurance or a deductible, that cannot be higher for emergency and non-emergency services than if such services were provided by an in-network doctor, and the requirements related to the treatment of coinsurance or deductible as in-network.
Issues associated with the treatment of ancillary care (like an anesthesiologist or assistant surgeon) as in-network.
Notices that must be provided by health care providers and facilities explaining that patient consent is required to receive care on an out-of-network basis before that provider can bill at the higher out-of-network rate.