States with external review processes that cannot accommodate No Surprises Act compliance matters may refer these matters to the Department of Health and Human Services’ external review process or use the accredited independent review organization, the Centers for Medicare & Medicaid Services said in guidance issued last week. Under the Affordable Care Act, consumers can appeal health plan decisions to an external review process, which effective this Jan. 1 includes health plan decisions related to NSA surprise billing and cost-sharing protections. 

Related News Articles

Headline
The Consumer Financial Protection Bureau yesterday released a bulletin reminding debt collectors and credit bureaus of their legal obligations in light of…
News
The AHA and American Medical Association today sued the federal government over the misguided implementation of the federal surprise billing law. The…
Blog
Today, America’s hospitals and physicians filed a lawsuit in an effort to protect patients’ access to critical health care services. At issue is the…
Headline
The Centers for Medicare & Medicaid Services will host a Special Open Door Forum Dec. 8 at 2 p.m. ET on provider requirements effective Jan. 1 under the No…
News
The Centers for Medicare & Medicaid Services has released 11 documents related to the agency’s regulations implementing the No Surprises Act. The documents…
Headline
AHA President and CEO Rick Pollack talks with Epstein Becker Green podcast host Edward Kennedy Jr. about how hospitals are working with the Administration and…