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Thursday, November 18, 2021

What Facilities, Providers, and Ancillary Services Should Know About the No Surprises Act and Impacts to Payment

November 16, 2021, | Author: Caroline Znaniec

Effective Jan. 1, 2022, the No Surprises Act (NSA) will change how healthcare facilities, physicians, and non-physician providers are reimbursed for out-of-network (OON) services.

The NSA was signed into law as part of the Consolidated Appropriations Act of 2021. This rule applies to providers treating or rendering services to patients at a regulated in-network (IN) facility. This is regardless of the provider’s office location, mode of delivery (e.g. telehealth) or ownership. Out-of-network bills are most commonly associated with emergency department, anesthesia, pathology, laboratory, and radiology services.

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