T he No Surprise Billing Act 2022 has ironically raised eyebrows of many industry leaders across the healthcare landscape. According to the announcement made by the U.S. Department of Health & Human Services (HHS), this may be an end of an era for Surprise Billing in out-of-network billing. Here’s our take on what the No Surprise Act has in store for the Medical groups, different POVs from various organizations, ways to navigate the act, what to expect in 2022 and how to stay compliant with the newly announced law.

Dive in.

The No Surprise Act (NSA) is slated to come into effect from 1st Jan 2022 and proposes to establish balanced billing that mitigates the impact of out-of-network payment disputes. However, not many healthcare systems seem to be in agreement with the announcement.

The healthcare leaders have given a conclusive statement that the Surprise billing act 2022 does not address many of the concerns of the stakeholders. The No Surprise Act has raised controversies amongst the healthcare leaders, hospitals and Physician groups across the nation who claim that the law offers limited protection and patient access to care.

Hard-Hitting Facts You Don’t Want to Ignore!

This is about to change. Beginning January 1, 2022…

Payment disputes will be between providers and insurers, not patients	TNo Surprise bills: providers must provide good faith cost estimates to uninsured selfpay patients	New payment dispute for uninsured or self-pay patients to settle charges higher than good faith estimates
Sources: Kaiser Family Foundation, HHS

Also Read : Surprise Billing Need not be so surprising: The Interim Final Rule on the Policies and Regulations

As highlighted by the HHS, private medical insurance policy holders are faced with exorbitant costs in terms of Surprise billing. From $1200 for services offered by Anesthesiologists to $2600 for surgical assistants, patients most often get unanticipated medical bills for out-of-network care. The new law is slated to protect patients from these unforeseen expenses.

How to Stay Compliant with the Interim Final Rule?

The Interim Final Rule gives a snapshot of how care providers can take proactive measures to stay compliant with the balance billing protocols. Hospitals and Medical Practices need to have robust revenue cycle strategies and automated medical billing solutions that can help streamline efficiencies and maximize financial outcomes.

Healthcare organizations can consider partnering with experienced medical billing service experts who work in tandem with the latest policies and guidelines set by the federal government.

They work with advanced medical billing software tools by integrating intuitive solutions that seamlessly make changes and upgrades in the backend—for maximized operational efficiencies. An expert healthcare revenue cycle management team like SolvEdge comprises experienced medical billers, certified coders, technologists, Doctors, PhDs and SMEs who work together to deliver excellence in every endeavor.

SolvEdge is a trusted name in the healthcare space. Having partnered with over 450 hospitals and 3800 Physicians, our strong foothold in the healthcare landscape with over 18 years of experience in catering to a wide array of healthcare clientele, we have consistently delivered on our promise to Simplify healthcare experiences for all our stakeholders.

To get a personalized and free consultation of our medical billing services, Give us a shout!