The federal No Surprises Act took effect Jan. 1, 2022. This legislation is intended to protect patients from unexpected medical costs and requires health care providers and facilities to post notices of patient rights, issue good faith estimates of charges and obtain patient consent for certain out-of-network costs. In addition, during the 2020 and 2021 legislative sessions, the Indiana General Assembly passed legislation putting into place good faith estimate and notice requirements at the state level. ISMA has compiled resources to assist members in understanding the new law and requirements.
In addition to being linked in this article, the following resources are available online
Archived webinar: Surprise Billing: Patient Protection Etched Into Law
This CME webinar by health care attorneys from Krieg DeVault LLP is archived on the ISMA OnlineTM
Mobile App and focuses on provider operations. The presenters explain new provisions and essential forms that health care providers must understand in order to comply. This and all ISMA Online content is free to members; learn more at ISMA Online
Forms discussed in this webinar:
To assist physicians in complying with the No Surprises Act, ISMA and Kreig DeVault are making the essential forms discussed in the webinar publicly available. These may be downloaded as Word documents so physicians can customize them for their practices.
AMA No Surprises Act Toolkit
In addition to requirements such as good-faith estimates (including for uninsured and self-pay patients) and patient notices and consent to out of network billing, this downloadable pdf covers compliance guidance for nonemergency services at in-network facilities, emergency services and post-stabilization care at hospitals or freestanding emergency departments, and dispute resolution of patient charges.
These and other legal resources are available here
This information and these resources should not be construed as legal advice or a legal opinion on any specific facts or circumstances. The contents are intended for general informational purposes only. ISMA members who are interested in receiving attorney referrals may contact the ISMA Legal Department.