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On November 10, 2021, our health law attorneys explained the very complicated provisions of the No Surprises Act in a simple, straightforward way.
The No Surprises Act is one of the more confusing provisions to regulate the health care industry in recent times. The law applies to hospitals, ambulatory surgical centers, free standing emergency departments and air ambulance providers and the medical professionals who bill for services provided at those facilities.
In essence, the law requires that emergency services rendered at those facilities be treated as if they were in network, even if the patient is out-of-network. For non-emergency services, patient consent will be required before a patient may be balance-billed for out-of-network care. In addition, the law prohibits some professionals from even asking for consent to balance bill patients for services at the facilities.
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