In the newest update on the road to preventing surprise medical billing, the current Administration has issued what is known as “Requirements Related to Surprised Billing; Part 1”. As we mentioned in an earlier post, surprise medical billing happens when patients unknowingly receive out-of-network services which result in unexpected bills.

The set of interim final rule states:

  • Emergency services must be treated on an in-network basis without prior-authorization requirements
  • Patient’s deductibles and coinsurance must be at an in-network rate
  • Out-of-network ancillary services at an in-network facility are banned
  • No out-of-network charges without giving the patient advance notice.

This further emphasizes what needs to be done to meet the requirements of this law. For more information, you can visit the Centers for Medicare & Medicaid Services fact sheet.

At Americare Network, we will be keeping up with this news topic and will provider further updates as they come. Follow our blog for more medical insurance news, information, and updates. For medical billing information, contact us today!