Taken as a whole, below are some key points about how the NSA and the IFR may impact doctors, hospitals and insurance providers. Federal agencies will likely issue additional regulations to build on this guidance. Although this rule is considered “interim,” it is expected to be implemented as written. In July 2021, various federal agencies worked in tandem to issue an interim final rule (IFR) to expand on key portions of the Act. The law also orders federal agencies to conduct rulemaking to set expectations and give further guidance to affected parties. Broadly speaking, this Act will force providers to treat out-of-network services as if they were in-network when determining reimbursement, except for ground ambulance transportation, which is not addressed in the law. 1, 2022 and seeks to address the same issues that the Virginia law addressed but at the federal level. The No Surprises Act (NSA) takes effect Jan. ![]() ![]() 1, 2021, Virginia’s balance billing law took effect that barred out-of-network providers from billing patients for emergency services, and barred balance billing for some prescheduled, nonemergency services at hospitals or other health care facilities that were in the patient’s network. In recent years, balance billing from medical providers has attracted the attention of legislatures at both the state and federal level.
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