Surprise Billing

CHA Comments on Second No Surprises Act Interim Final Rule

CHA has submitted comments on the second interim final rule implementing the No Surprises Act (NSA) that includes provisions related to the independent dispute resolution (IDR) process, good faith estimates for uninsured individuals, and the Patient-Provider Dispute Resolution process.  

CMS to Host Special Open Door Forum on Provider Requirements Under No Surprises Act

The Centers for Medicare & Medicaid Services will hold a special open door forum at 11 a.m. (PT) on Dec. 8 on provider requirements under the No Surprises Act as outlined in two interim final rules released earlier this year.   These provisions include patient billing protections when getting emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from […]

California Hospitals Should Reaffirm Commitment to Protecting Patients

As CHA continues to press federal agencies to correct the independent dispute resolution process in the second No Surprises Act interim final rule (during negotiations, Congress removed language to ensure a level playing field in arbitration, but the interim rule does the opposite by mandating a benchmark rate), we are asking every hospital in California to reaffirm your commitment […]

No Surprises Act: Dispute Resolution Process and Self-Pay Estimates

On September 30th, The Departments of Health and Human Services (HHS), Labor, and Treasury released an interim final rule (IFR) providing additional regulations implementing the No Surprises Act. The rule includes: Provisions related to the independent dispute resolution (IDR) process Good faith estimate for uninsured individuals The patient-provider dispute resolution process The rule also requires IDR entities […]

Interim Surprise Billing Rule Hurts Patients

As California’s hospitals continue to slog through the peaks and valleys of the COVID-19 pandemic, all while enduring incessant and devastating blows to the resources they rely on for patient care, an additional burden from the federal government is beginning to materialize. 

CHA Comments on No Surprises Act Enforcement Provisions Proposed Rule

CHA commented on the proposed rule detailing the enforcement provisions related to the No Surprises Act (NSA). In the letter, CHA raises concerns about the promulgation of regulations related to enforcement actions before the full set of regulations required to implement the NSA’s core provisions have been produced.   CHA also offers specific technical recommendations to ensure that providers have an appropriate opportunity to respond […]

CHA Comments on No Surprises Act Regulation

CHA submitted comments on the interim final rule with comment period implementing the No Surprises Act.  In the letter, while CHA supports efforts to reduce patients’ out-of-pocket costs for health care, CHA raises a number of concerns with provisions of the interim final rule, including the qualified payment amount calculation and notice and consent process.   Additionally, CHA asks the tri-agencies to protect patients from confusion and consumers from higher premiums — resulting from […]