July 23, 2021
Surprise Billing: Key Areas of Concern
As we continue our march through the regulatory season, HHS and other federal agencies have delivered an Interim Final Rule (IFR) implementing Part 1 of the No Surprises Act. In the last Policy Brief, AHPA gave a broad overview of what was inside the IFR, including banning surprise billing for emergency services and requiring patient cost-sharing be based on in-network provider rates. Now we will highlight key concerns with the rule, honing in on Qualifying Payment Amounts (QPAs), which determine patient cost-sharing and are used in the independent dispute resolution process. Keep reading for a deeper look at QPAs and their potential impact on health systems. Read More >>>
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