What Rev Cycles Need to Know About The Surprises Act

The No Surprises Act goes into effect January 1, 2022, and protects patients from surprise medical bills and establishes an independent dispute resolution process for payers and providers.

Just as revenue cycle executives are coming up for air from the CMS price transparency mandate, they have another date to add to their compliance calendar: January 1, 2022. That’s the day that the No Surprises Act goes into effect.

The legislation has two main parts. First, it protects patients from surprise medical bills.

“Under the recently announced No Surprises Act, patients will only have to pay the in-network cost-sharing responsibilities for their care, while payers and providers will negotiate payment for the rest,” Rob LaHayne, CEO of TouchCare, a healthcare concierge service, tells HealthLeaders via email.