American Hospital Association July 7, 2023
The Departments of Labor, Health and Human Services, and the Treasury released new FAQs on the No Surprises Act and the Transparency in Coverage final rules.
One of the FAQs relates to facility fees, as the departments are concerned about consumers unexpectedly facing these fees, particularly for services received outside of the hospital setting. Through the FAQ, the departments clarify that facility fees should be included in the definition of “items and services” for both the Transparency in Coverage requirements and the No Surprises Act price transparency requirements. This means that, when covered, the fees should be included in the health plans’ machine-readable files. They...
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