5 Things Rev Cycle Leaders Need to Know About the Surprise Billing Interim Final Rule

HealthLeaders Media July 9, 2021
Alexandra Wilson Pecci

Understanding the qualifying payment amount and the initial information on the independent dispute resolution process “should be a short-term priority for revenue cycle leaders and their teams,” says attorney Harvey Rochman.

KEY TAKEAWAYS

– Revenue cycle leaders need a good handle on how the QPA is calculated and the notice-and-consent process.

– When a state law will apply to calculate out-of-network payments instead of the No Surprises Act remains unclear.

– Arbitration details are sparse, but rev cycle leaders can prepare.

Earlier this month, the federal government released an interim final rule outlining certain provisions of the No Surprises Act (NSA), which is designed to protect patients from surprise medical bills and balance billing.

Although the interim final rule outlined...

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