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The Becker’s Healthcare summary of “8 Important Things to Know” about the CMS proposal and the full CMS proposal…

HHS Secretary Xavier Becerra recently testified before Congress. In these sessions, Becerra was repeatedly asked about implementation of the No Surprises Act. At the Senate Finance Committee meeting, Senator Michael Bennet (D.-Colo.) remarked that implementation of the law “is a big mess.”

The No Surprises Act, legislation protecting patients from surprise medical billing, was passed in 2020 following Congressional consideration of several proposals with differing approaches. The complexity of the issue not only made passing legislation challenging but also gave rise to numerous myths.

Erosion of physician payments, a trickle-down effect of the No Surprises Act, is having an outsized impact on ED physicians in particular. They’re required by law to treat uninsured/underinsured patients, whether or not they can pay through the EMTALA, and are paid very little for uninsured care.

The Centers for Medicare and Medicaid Services (CMS) has directed certified independent dispute resolution entities to halt all payment determinations related to the No Surprises Act until additional guidance is provided by the Department of Health and Human Services (HHS) and the Treasury Department. This decision follows a court defeat for CMS.

More than 90,000 HHS claims are in dispute. PHIMED Technologies can help you navigate the complexities of medical management and billing.

Anesthesiologists Oppose 700% Increase in Fee to Access No Surprises Act Independent Dispute Resolution Process and Call for IDR Reforms.

‘No Surprises Act’ Implementation Is Full of Surprises.