The federal No Surprises Act (NSA), which went into effect January 1, 2022, protects patients from surprise medical bills for emergency services and for when they are treated by out-of-network providers in an in-network facility in certain circumstances. The NSA also sets a methodology that will be used to determine out-of-network enrollee cost sharing and provider reimbursement in those situations—at least when state law does not determine those amounts.

Because most states already have some form of patient protections for surprise medical bills, the NSA creates a complex landscape of state and federal law interactions. As we move forward with implementation, fully understanding state and federal guidance—and the interactions between them—will be imperative for ensuring that providers’ billing practices and plans’ processing practices are compliant. In a new CLE-eligible webinar, Manatt provides guidance on successfully navigating the complexities and challenges that the NSA introduces. Click here to register free and earn CLE. Key topics include:

• Consequences of ongoing litigation on the federal independent dispute resolution process for payer-provider reimbursement disputes
• State and federal enforcement approaches and priorities
• Key operational implementation challenges for payers and providers
• Recent and upcoming regulatory guidance

Even if you can’t make our live session on March 30, click here to register free now and you’ll receive a link to view the program on demand.

Speakers:

Michael Kolber, Partner, Manatt Health
Harvey Rochman, Partner, Manatt Health

CLE:

CLE is pending in NY and CA.

If you would like to receive an audio transcript of this webinar due to accessibility issues, please email us at webinars@manatt.com.