No Surprises Act Toolkit 1.0
As of January 1, 2022, providers and facilities must comply with a number of requirements established by the federal No Surprises Act (NSA) . The NSA prohibits out-of-network health care providers and facilities from balance billing commercially insured patients, in certain circumstances. Part II of the NSA, the “Requirements Related to Surprise Billing; Part II” is most applicable to chiropractic physician offices and was created to provide additional protections against surprise medical bills, including:
• Requiring good-faith estimates of medical items or services for uninsured (or self-paying) individuals.
• Requiring notice posted in your office and on your website of the uninsured/self-insured’s right to receive a good faith estimate.
• Establishing a patient-provider dispute resolution process for uninsured (or self-paying) individuals to determine payment amounts due to a provider or facility under certain circumstances.