PARA HealthCare Analytics Weekly eJournal October 13, 2021

Page 13

PARA Weekly eJournal: October 13, 2021

CMS RELEASES NO SURPRISES ACT -- PART II

On September 30, 2021, the Department of Health and Human Services (HHS), the Department of Labor and the Department of Treasury released Part II of the No Surprises Act. The Act, which goes into effect on January 1, 2022, aims to protect patients from unexpected out of pocket costs resulting from surprise and balance billing. Part II of the Act addresses plan coverage requirements, independent dispute resolution processes between the payers and providers, and details for how payers will determine patient cost-sharing responsibilities. The unpublished rule, which will be published on October 7, 2021, can be accessed through the Federal Register website: https://www.federalregister.gov/public-inspection/2021-21441/requirements-related-tosurprise-billing-part-ii

CMS devotes a website to the No Surprises Act: https://www.cms.gov/nosurprises

CMS Fact Sheet ? No Surprises Act, Part I: https://www.cms.gov/newsroom/fact-sheets/ requirements-related-surprise-billingpart-i-interim-final-rule-comment-period CMS Fact Sheet ? No Surprises Act, Part II: https://www.cms.gov/newsroom/fact-sheets/ requirements-related-surprise-billing-part-ii -interim-final-rule-comment-period 13


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