ChrisMyersJul 19, 2025
Revolutionizing Revenue & Reimbursement in Healthcare – No Surprise Bill
Are you a healthcare provider group struggling with rising labor costs, payor challenges, or stagnant reimbursements? No Surprise Bill is here to help you transform these challenges into strategic advantages.
https://www.nosurprisebill.com/
#NoSurpriseBill #HealthcareRevenue #PayorContractStrategy #NoSurprisesAct #RCMAlternative #HealthcareInnovation #MedicalBillingSolutions #RevenueOptimization #RCMSolutions
Edward L PlattJan 21, 2025
If you're in the US, you may not know that the 2022 #NoSurprisesAct provides protections against "surprise bills" (AKA balance billing). In many cases, it allows you to get a good faith estimate or insurance predetermination to see what your out-of-pocket costs are before receiving service: https://www.cms.gov/newsroom/fact-sheets/no-surprises-understand-your-rights-against-surprise-medical-bills
No Surprises: Understand your rights against surprise medical bills | CMS

The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers.

Catherine Collingwood EstesAug 23, 2024
"The majority of [the] complaints were made against providers, #HospitalFacilities and #AirAmbulance ambulance services." #NoSurprisesAct #SurpriseBilling #GoodFaithEstimate #MedicalCosts https://www.beckershospitalreview.com/finance/most-common-no-surprises-act-complaints-against-payers-providers.html?utm_campaign=bhr
Most common No Surprises Act complaints against payers, providers

CMS released a new report detailing complaints related to No Surprises Act and ACA compliance. 

Show threadMikeWasDec 13, 2023

Also, if you go to a hospital that's in your insurance network, but they bring in out-of-network providers without clear notice and consent, you can't be billed for the difference.

So if you're getting surprise bills for out-of-network medical providers, chances are the No Surprises Act makes that bill illegal. And that means you probably don't owe nearly as much as they claim.

#DebtCollectors #NoSurprisesAct

MikeWasDec 13, 2023

Some people love surprises.

But a surprise medical bill is something that's never welcome, no matter what you wrap it in.

This is where the No Surprises Act can save the day.

If you have emergency care, and you get treatment from a provider who's outside your covered network, the No Surprises Act bans charges that would be more than you'd pay for an in-network provider.

👇

#DebtCollectors #NoSurprisesAct

Charles GabaOct 27, 2023
Surprise!! Biden-Harris Admin advances efforts to improve #NoSurprisesAct billing payment dispute process:
https://acasignups.net/23/10/27/biden-harris-administration-advances-efforts-improve-no-surprises-act-billing-payment
Biden-Harris Administration Advances Efforts to Improve the No Surprises Act billing payment dispute process

via the Centers for Medicare & Medicaid Services (CMS): Today, the Biden-Harris Administration (the Administration), through the Departments of Health and Human Services (HHS), Labor, and the Treasury (the Departments), along with the Office of Personnel Management (OPM), released a proposed rule on the No Surprises Act’s Federal independent dispute resolution (IDR) process. The Administration has demonstrated its commitment to implementing the No Surprises Act (NSA) to protect consumers from surprise billing and is consistently making progress in improving the Federal IDR process. The Federal IDR process is a mechanism that providers (including air ambulance providers), facilities, and health plans can use to resolve payment disputes for certain out-of-network charges. The proposed rule, if finalized, would improve communications between payers, providers, and certified IDR entities who make payment determinations; adjust Federal IDR timelines; establish new batching criteria; create a more efficient Federal IDR process; and change the administrative fee structure to improve accessibility of the process. “The Biden-Harris Administration continues to take actions to protect patients from junk health insurance and unfair billing practices.

ACA Signups
Brittany TrangOct 2, 2023

There have been a lot of lawsuits over the anti-surprise billing arbitration process, but a new lawsuit from an air ambulance company against Blue Cross Blue Shield of Arizona is for a newer reason:

They aren't arguing over the rates anymore; they just wanna get paid

https://www.statnews.com/2023/10/02/surprise-medical-bills-lawsuit/

#surprisebilling #IDR #BCBS #ambulance #healthinsurance #NoSurprisesAct

New lawsuit highlights another wrinkle for settling disputes over surprise medical bills

An air ambulance provider and an insurance company followed the process for arbitrating surprise medical bills. There were still issues, per a new lawsuit.

STAT
Show threadCory DoctorowAug 8, 2023

Heard of the "surprise billing epidemic"? That's where you go to a hospital that's covered by your insurer, only to discover - after the fact - that the #EmergencyRoom is operated by a separate, PE-backed company that charges you thousands for junk fees. KKR and #Blackstone invented this scam, then funneled millions into fighting the #NoSurprisesAct, which more-or-less killed it:

https://pluralistic.net/2020/04/21/all-in-it-together/#doctor-patient-unity

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Pluralistic: 21 Apr 2020 – Pluralistic: Daily links from Cory Doctorow

Charles GabaJul 7, 2023
Biden Admin also issues new guidance on the #NoSurprisesAct & cracking down on medical debt abuses:
https://acasignups.net/23/07/07/biden-admin-issues-new-guidance-nosurprisesact-cracking-down-medical-debt-abuses
Biden Admin issues new guidance on #NoSurprisesAct & cracking down on medical debt abuses

In late 2020 after years of bipartisan attempts to tackle one of the uglier problems with the U.S. healthcare system, Congress somehow ended up quietly slipping in a bill which resolved a large chunk of the issue with minimal fanfare: Sarah Kliff and Margot Sanger-Katz have written an excellent summary of the problem and the proposed solution: Surprise bills happen when an out-of-network provider is unexpectedly involved in a patient’s care. Patients go to a hospital that accepts their insurance, for example, but get treated there by an emergency room physician who doesn’t. Such doctors often bill those patients for large fees, far higher than what health plans typically pay. Part of the problem is that the patient is often not in any position to have any say in where they're taken or who cares for them. Obviously you can't tell the ambulance where to take you if you're unconscious, and even if you are, someone having a heart attack isn't exactly in the best frame of mind to make sure that the folks working to saving their life are in-network.

ACA Signups
Laura PackardFeb 25, 2023

Surprise medical bills & ambulance surprise bills explained!

On #CareTalk we answer your health insurance & health care questions, & I talked with Patricia Kelmar of @uspirg about stopping surprise medical bills
#NoSurprisesAct #healthcare (via @acttv)
https://youtu.be/nNlg8T27FE4

Your health care and surprise ambulance #MedicalBills

YouTube