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The No Surprises Act: What Neuroradiologists Should Know

The No Surprises Act: What Neuroradiologists Should Know EDITORIAL also highlight surprise gaps in coverage. The NSA prohibits bal- The No Surprises Act: What ance billing to patients in specific situations. Relevant to hospital- Neuroradiologists Should Know based specialties like radiology, the NSA covers out-of-network emergency care or nonemergency care delivered by out-of-net- T.H. Nguyen, R.E. Heller, K. Keysor, J.M. Milburn, work providers at an in-network facility. The NSA is considered a E.Y. Rula, R. Spangler, and J.A. Hirsch minimum standard, which means it applies if a state does not already have laws meeting minimum standards for protections against balance billing. The NSA does not apply to services pay- he No Surprises Act (NSA) is the first federal law to address able by Medicare, Medicaid, the Children’s Health Insurance Tsurprise medical billing and became effective as of January Program (CHIP), or TRICARE Health Insurance because each 2022. This law prohibits balance billing to patients who receive of these programs already largely prohibit balance billing. unexpected out-of-network care and limits patient payments to Many neuroradiologists and neurointerventionalists are their in-network cost-sharing (coinsurance, copay, or deductible). involved in care that may be subject to the NSA, such as stroke or The remaining balance is determined through negotiations trauma work-ups http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

The No Surprises Act: What Neuroradiologists Should Know

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Publisher
American Journal of Neuroradiology
Copyright
© 2023 by American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.a7739
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL also highlight surprise gaps in coverage. The NSA prohibits bal- The No Surprises Act: What ance billing to patients in specific situations. Relevant to hospital- Neuroradiologists Should Know based specialties like radiology, the NSA covers out-of-network emergency care or nonemergency care delivered by out-of-net- T.H. Nguyen, R.E. Heller, K. Keysor, J.M. Milburn, work providers at an in-network facility. The NSA is considered a E.Y. Rula, R. Spangler, and J.A. Hirsch minimum standard, which means it applies if a state does not already have laws meeting minimum standards for protections against balance billing. The NSA does not apply to services pay- he No Surprises Act (NSA) is the first federal law to address able by Medicare, Medicaid, the Children’s Health Insurance Tsurprise medical billing and became effective as of January Program (CHIP), or TRICARE Health Insurance because each 2022. This law prohibits balance billing to patients who receive of these programs already largely prohibit balance billing. unexpected out-of-network care and limits patient payments to Many neuroradiologists and neurointerventionalists are their in-network cost-sharing (coinsurance, copay, or deductible). involved in care that may be subject to the NSA, such as stroke or The remaining balance is determined through negotiations trauma work-ups

Journal

American Journal of Neuroradiology – American Journal of Neuroradiology

Published: Jan 1, 2023

References

  • Health Tracking Poll: Late Summer 2018: The Election, Pre-Existing Conditions, and Surprises on Medical Bills. Kaiser Family Foundation
  • Federal out-of-network balance billing legislation: context and implications for radiology practices
    RE. Heller; E. Gaines; N. Parti
  • UnitedHealthcare guided Yale’s groundbreaking surprise billing study
  • Re: Necessity to amend rate agreement, response needed before November 21, 2021
  • Here’s what the new ban on surprise medical billing means for you
  • UnitedHealthcare underpaid TeamHealth provides: Nevada jury
  • Health Care Providers Fight Arbitration Rule in No Surprises Act
  • Texas Medical Association files another surprise billing lawsuit