Since the unsurprising law took effect on January 1, several health agencies have released resources to help healthcare professionals understand the new rules.
6 things to know:
1. The American Hospital Association released a 15-page advisory and summary of the law on Jan. 14 with no surprises. “The hospital and healthcare system field strongly supports protecting patients from surprise medical bills,” the notice states. “The AHA is pleased that Congress has rejected approaches that would impose arbitrary rates on providers, which could have significant consequences far beyond the scope of surprise medical bills and impact access to hospital care. .”
2. The AHA provided key elements of the law in the notice, including that it protects patients from receiving surprise medical bills due to gaps in coverage for emergency services and special services by out-of-network providers at network establishments.
3. The Consumer Financial Protection Bureau has also issued a bulletin to remind debt collectors, consumer reporting agencies and information providers of their legal obligations to follow the law without surprise.
4. HHS released a video on Jan. 11 with five things to know about the new rules.
5. The American Medical Association released a toolkit for physicians this month. It focuses on three operational challenges: non-emergency services in network facilities; emergency and post-stabilization care in free-standing hospitals and emergency departments; and good faith estimates for self-paid and uninsured patients.
6. CMS also offers policies and resources on its website, as well as advice on resolving out-of-network payment disputes and consumer rights.