The Federal No Surprise Act, effective January 1, 2022, was passed to prohibit surprise billing in certain circumstances. Since it was passed however, the law has been subject to various lawsuits and as a result, certain portions of the law were vacated or changed. In December 2023, CMS published a guidance document so that disputing parties could be better educated on the process. The document can be found at : https://www.cms.gov/files/document/federal-idr-guidance-idr-entities-march-2023.pdf.
,The NJ Department of Banking and Insurance (NJ DOBI) posted a Guidance Document on their website today related to the Out-of-network Consumer Protection Transparency, Cost Containment and Accountability Act. The Bulletin is intended to provide guidance to carriers, health care providers and other interested parties so they can meet their obligations under the Act, pending the adoption of rules.
Contact the attorneys at Gottuso Law to discuss these new regulations.
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