Surprise Billing

About Surprise Billing

The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills for most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers. While California hospitals are already leaders in ensuring patients understand their out-of-pocket costs and offering clear, written discount and charity care policies to help certain patients, new AHA guidelines are a way for hospitals to reinforce their commitment.

CHA Encourages Members to Respond to CMS about No Surprises Act

CHA has issued draft comments in response to the Centers for Medicare & Medicaid Services’ (CMS) request for information (RFI) on the advanced explanation of benefits (AEOB) and good faith estimate (GFE) requirements of the No Surprises Act.   The No Surprises Act addresses surprise medical billing at the federal level.    CHA encourages members to use its […]

CMS Updates No Surprises Act Consumer Notices and Independent Resolution Process Guidance

The Centers for Medicare & Medicaid Services has released updated consumer notices and, separately, guidance related to the Independent Dispute Resolution Process. The model notice of patient protections that providers should use in 2023 is available here and begins on page 10. The standard notice and consent form that providers should use to document a patient’s desire to receive care out of network and be billed accordingly in 2023 is available here and begins on page 9.