No Surprise Billing Act

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The PHN Board Meetings occur the first Wednesday of every other month (the even-numbered month's ). For more information on these meetings contact Dee Dee Dewell at ddewell@phn.org.

Sunflower Health Network Board Meeting - Dec. 7

For more information, contact: Heather Fuller, MS, FACHE Executive Director Sunflower Health Network 400 S. Santa Fe Salina, KS 67401 (785) 452-6102 hfuller@srhc.com

All Payers' Conference - Dec. 7-8

The All Payers Workshop, co-sponsored by the Kansas Hospital Association and the Sunflower Chapter of Healthcare Financial Management Association.

Health Innovations Network of Kansas - Dec. 11

For more information, contact Sarah Gideon, Director, Health Innovations Network of Kansas, (785) 364-6063 or sgideon@stormontvail.org.

Management and Leadership Training Three-Part Webinar Series - Part 3 - Dec. 13

Register and plan to attend the three-part management development webinar series. This webinar series will provide new, and more experienced managers, with the nuts and bolts of management.

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No Surprise Billing Act

Shannan

Vice President Reimbursement

sflach@kha-net.org

(785) 233-7436, Ext. 132

The Office of Personnel Management, along with the departments of Health and Human Services, Labor, and Treasury July 1 released "Part 1" of regulations implementing the No Surprises Act. The interim final rule addresses several provisions in the law, including the ban on balance billing for certain out-of-network services (referred to as "surprise medical bills"); the notice and consent process that some providers may use to bill patients for out-of-network services; how patient cost-sharing must be calculated; and a complaint process for any potential violations of the provisions in the law. Notably, the regulations contain a strong rebuke of health plan actions to deny coverage of emergency services.

Documents and Resources

No Surprises Act Implementation Guide 3-25-22
No Surprises Act Good Faith Estimate Workflow
PYA On-Demand Webinar
CMS Good Faith Estimate FAQs 12-21-21
New Federal Patient Notice Form 12-21-21
Surprise Billing Policy Checklist 12-21-21
FAQ's on No Surprise Billing 12-8-21
Good Faith Estimate Tool 12-1-21
Completed Disclosure Form - Vertical 12-1-21
Completed Disclosure Form - Horizontal 12-1-21
Standard Notice and Consent Form 12-1-21
No Surprises Act KHA Webinar 11-11-21
Avoiding a Surprise Bill Consumer Guide 11-10-21
KHA Surprise Billing Part 1 Comment Letter 8-31-21
No Surprises Act IFR All Member Webinar Part 1 (PowerPoint Presentation) - July 20
CMS Supporting Statement - Part A
AHA Special Bulletin - Agencies Issue Part One of Regulations Banning Surprise Medical Bills - July 2, 2021
KHA Issue Brief - "Surprise Billing" Rule Pending - July 19, 2021
CMS 9909 IFC Surprise Billing Disclaimer
July 13, 2021, Federal Register - Requirements Related to Surprise Billing Part 1
CMS Fact Sheet - Requirements Related to Surprise Billing Part 1 Interim Final Rule Comment Period
CMS Fact Sheet - What You Need to Know about Biden-Harris Administration's Actions to Prevent Surprise Billing

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