Is your organization ready for the No Surprises Act (NSA)? The law goes into effect January 1, 2022, and contains a new federal ban on surprise billing as well as new disclosure requirements.

The NSA applies to certain payors, providers, facilities, and ancillary service entities that support patients who receive emergency services or other non-emergency services at certain facilities, such as hospitals, hospital outpatient departments, and ambulatory surgical centers.

What does this mean for you?

• Health care businesses should design a detailed “operationalized” NSA compliance program now but stay flexible as additional regulations are issued.

• If you have operations in multiple states, assess whether state laws may apply and how they will interact with the federal law.

• Calculate your median contracted rates for common services in each sector for billing guidance.

• Ancillary service providers, in particular, must determine how to obtain the necessary information to help determine if federal protections apply to services they provide to patients in facilities in which they are not physically located.