Surprise Medical Billing

Oct 15, 2020
The following guidelines outline how all hospitals and health systems can best serve their patients and communities. They underscore hospitals’ commitment to ensuring that conversations about financial obligations do not impede care, while recognizing that determinations around financial assistance…
Feb 20, 2019
America’s hospitals and health systems are committed to protecting patients from “surprise bills” and support a federal legislative solution to do so. These types of bills may occur when a patient receives care from an out-of-network provider or when their health plan fails to pay for covered…
Feb 20, 2019
Surprise bills can cause patients stress and financial burden at a time of particular vulnerability: when they are in need of medical care. Patients are at risk of incurring such bills during emergencies, as well as when they schedule care at an in-network facility without knowing the network…
Sep 2, 2021
Hospitals and health systems have long advocated for protecting patients from certain unexpected medical bills while preserving their access to care.
Sep 1, 2021
Laurie Bodenheimer                                      Ali Khawar Associate Director                               …
Sep 1, 2021
The AHA submits comments to the Departments of Health and Human Services, Labor and Treasury, as well as the Office of Personnel Management, on the first interim final regulations implementing the No Surprises Act.
Aug 23, 2021
The Departments of Health and Human Services, Labor, and Treasury (“the departments”) Aug. 20 released a set of Frequently Asked Questions (FAQs) related to provisions in the No Surprises Act and the Transparency in Coverage final rule. As requested several times by the AHA, the departments…
Aug 11, 2021
This letter provides comment on the Centers for Medicare & Medicaid Services’ guidance documents implementing the No Surprises Act’s provisions related to notice and consent and public disclosure.
Aug 5, 2021
In this webinar, we continue our conversation from July 21st on the recently released interim final regulations implementing certain provisions of the No Surprises Act. We focused on our proposed input to the federal government on the regulations implementing balance billing in certain out-of-…
Jul 27, 2021
This webinar focuses on the regulations pertaining to the ban on balance billing in certain out-of-network scenarios, the process providers may use to obtain patient consent to balance bill, and the calculation of the qualifying payment amount, among other provisions.