American Medical Association™ Toolkit for Physicians: Preparing for Implementation of the No Surprises Act

American Medical Association™ Toolkit for Physicians: Preparing for Implementation of the No Surprises Act

This toolkit focuses on three operational challenges that physicians will need to address immediately in order to be compliant with the new requirements. Each is addressed in a separate part of this toolkit.

Part I: Non-emergency services at in-network facilities — notice and consent requirements that allow out-of network physicians to balance bill when seeing patients at in network facilities, as well as situations in which such patient consent is not or cannot be obtained.

Part II: Emergency services and post-stabilization care at hospitals or freestanding emergency departments — rules applicable to emergency care, especially circumstances in which out-of- network providers can balance bill for care after an out-of-network emergency.

Part III: Good faith estimates (GFEs) for self-pay and uninsured patients — obligations to provide a GFE of provider charges for scheduled self-pay and uninsured patients, including dispute resolution for bills substantially in excess of the GFE

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