On-Demand Learning

No Surprises Act: Implementation for California Hospitals

Originally recorded August 6, 2021

On July 1, the Departments of Health and Human Services, Labor, and Treasury (tri-agencies) released an interim final rule implementing the No Surprises Act.  

Beginning on Jan. 1, 2022, the Act, among other things, prohibits balance billing by limiting cost sharing to the in-network amount for:  

  • Emergency services provided by out-of-network facilities and providers 
  • Certain situations where a patient receives care from an out-of-network provider at an in-network facility   

The interim final rule: 

  • Clarifies the definition of post-stabilization services 
  • Defines the notice and consent process necessary to balance bill for post-stabilization services 
  • Provides technical details for determining the qualifying payment amount that will be used to determine patient cost sharing in covered, out-of-network situations for California hospitals  

CHA is hosting a webinar on August 6 to discuss implementation of the No Surprises Act and to help CHA members understand the notice and consent process along with qualifying payment amount calculation.

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.

For more information, click this link for the interim final rule CHA article.

Who should participate
Chief Financial Officers, Chief Operating Officers, Managed Care Coordinators, Government Relations Executives, Finance & Reimbursement Staff and Legal Counsel

This content is restricted to members.