Day: April 21, 2022

Implementation of the federal No Surprises Act, intended to protect patients from unanticipated medical expense after receiving care from an out-of-network physician, other health professional, hospital, or other provider, is very much a work in progress.

The new federal law, which took effect in January of this year, bars surprise billing for emergency care and some nonemergency care at in-network facilities. The law and implementing regulations have established a process to determine payment for physicians, health care organizations and others that includes the IDR process.