On-Demand Learning

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

Program originally recorded November 4, 2021

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 to begin the arbitration process with the presumption that the qualified payment amount (QPA) is the appropriate payment amount for out-of-network services.

Join experts Chad Mulvany, CHA Vice President of Federal Policy and Amanda Hayes-Kibreab, Partner at Kings-Spalding, as they provide insight and guidance for members navigating through this interim final rule and Act.

Audience: CEOs, CFOs, government relations executives, finance & reimbursement staff, legal counsel

This content is restricted to members.