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FEDERAL SURPRISE BILLING ACT SUMMARY AND TOOL KIT What Is the Surprise Billing Act Federal law: Title I (No Surprises Act) of Division BB of the Consolidated Appropriations Act, 2021 (CAA) amended
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The Federal No Surprises Billing Act Summary and Tool Kit is a resource designed to help healthcare providers, facilities, and plans understand the regulations and requirements established by the No Surprises Act, which aims to protect patients from unexpected medical bills.
Healthcare providers, facilities, and health plans that are involved in billing for services covered by the No Surprises Act are required to file the federal No Surprises Billing Act Summary and Tool Kit.
To fill out the federal No Surprises Billing Act Summary and Tool Kit, entities must gather relevant billing information, patient data, and applicable disclaimers as outlined in the toolkit. They should ensure compliance with the guidelines and submit the necessary documentation to the appropriate authorities.
The purpose of the Federal No Surprises Billing Act Summary and Tool Kit is to provide guidance and standardized information to ensure compliance with the No Surprises Act, helping prevent surprise medical billing and promote transparency in medical charges.
Information that must be reported includes patient identifiers, details of the services provided, billing amounts, disclosures regarding out-of-network providers, and any notices given to patients about their rights under the No Surprises Act.
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