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Letter to Agencies on Surprise Billing Regulations
The departments of Health and Human Services, Labor, and Treasury, along with the Office of Personnel Management, Sept. 30 released “Part 2” of regulations implementing the No Surprises Act. The interim final rule addresses several provisions in the law, including the independent dispute resolution process providers and plans may use to adjudicate outstanding reimbursement disputes; the good faith cost estimates providers must share with uninsured or self-pay patients for scheduled services; a process to resolve disputes between uninsured/self-pay patients and providers; and an external review process as part of the oversight of health plan/issuer compliance.
New Surprise Billing and Price Transparency Policies
The following No Surprises Act provisions go into effect on Jan.
Surprise Billing and Price Transparency Member Resources
Over the past year, there has been considerable public and policymaker focus on the issues of surprise medical billing and health care price transparency. The AHA supports protecting patients from surprise medical bills and improving patient access to meaningful pricing information. The following resources provide more information on the AHA’s position, including in response to regulatory and legislative proposals.