Keckley Report January 3, 2022
Effective last Sunday, the No Surprises Act (NSA) passed by Congress in December 2020, became law. It protects consumers against surprise bills from out-of-network hospitals and physicians which apply to 10 million patient encounters including 1 in 5 emergency room visits and 1 in 6 in-network hospitalizations.
How it Works
Patients are required to pay in-network copays, deductibles for emergency care in a hospital, a freestanding ER or urgent care center, air ambulance service and elective care at in-network hospitals or surgery centers where clinicians may be out-of-network. Put another way, balance billing is prohibited for out of network charges submitted by a provider at a qualifying in network facility; and for essentially all emergency services, though some exceptions still...
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