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Still Fielding No Surprises Act Questions? CMS Is Trying To Help

Analysis  |  By Amanda Norris  
   June 19, 2023

CMS recently launched a new consumer webpage for the No Surprises Act.

CMS launched a webpage for consumers detailing patient protections from unexpected out-of-network medical bills under the No Surprises Act.

The website also addresses the dispute resolution process for uninsured and self-pay patients interested in disputing their bill based on a provider’s good faith estimate.

Surprises bills continue to be sprung on patients, even with a federal ban in place, with one in five adults receiving an unexpected medical charge this year, according to a survey by Morning Consult.

As revenue cycle leaders know, the No Surprises Act is meant to protect patients from receiving unforeseen bills for out-of-network and emergency services after receiving treatment, yet 20% of respondents in the survey say they or their family have been charged unexpectedly, with another one in five billed after being treated by an out-of-network provider at an in-network facility.

The bills have been especially costly in some cases, as 22% of respondents say their charges were over $1,000.

Creating more resources for patients, such as CMS’ webpage, could help patients better understand the law and what to expect when receiving care.

Amanda Norris is the Director of Content for HealthLeaders.

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