A Brief Summary of the No Surprises Act for Payers

Posted by Brinna Hanson on November 22nd, 2021
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Brinna Hanson
Brinna is a marketing professional and recent graduate of the University of Minnesota. Brinna joined Smart Data Solutions in 2019 to assist the marketing department reach new heights with a focus on the HubSpot inbound process. From her time at Smart Data as well as at previous internships, Brinna has been able to gain knowledge in many different aspects of marketing as a whole.

The No Surprises Act (NSA) is the latest rule to increase transparency into medical billing. The goal is to reduce unexpected financial burden on patients when they have had no meaningful choice but to receive care from an Out-Of-Network (OON) Provider. This includes emergency and air ambulance services.

The NSA will prohibit balance billing and surprise billing by placing the administrative burden on insurance Payers to process these special cases. Both insurance Payers and healthcare Networks are preparing their workflows to comply with updates. 

The highly technical nature of healthcare administrative processing benefits from the expertise of technology Providers ingrained in the industry, such as Smart Data Solutions. Even though the NSA presents monumental change, we’re all helping one another adapt together. 

Our team’s preparation started with a shared understanding of the big players, key terminology, and important dates related to the NSA. We’ve summarized this below as a quick guide to the No Surprises Act for Payers and will update this post regularly as new information is released. 

No Surprises Act: Terminology to Know

This list is a fast reference for the most popular organizations and terminology associated with the NSA.

Key Players

Terminology

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Important Deadlines

The No Surprises Act presents many challenges for teams who are responsible for administrative healthcare workflows. Fortunately, no one is alone with these changes. Payers can partner with technology companies such as Smart Data Solutions to create a custom plan for compliance with the NSA. 

We are offering a free NSA consultation for Payers to help analyze their current workflows and recommend next steps specific to their business needs. Request your free consultation today to get ahead of the January 1, 2022 deadline for NSA compliance. Request a Consultation Here.

A Brief Summary of the No Surprises Act for Payers 2

 

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