October 1, 2021
Tri-Agencies issue Part II of surprise billing requirements, outlining independent dispute resolution process
On September 30, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury ("the Departments") released an interim final rule with comment period, "Requirements Related to Surprise Billing; Part II," which details the Independent Dispute Resolution (IDR) process to settle out-of-network (OON) rates between providers and payers in "surprise billing" situations and outlines requirements for health care cost estimates for uninsured (or self-pay) individuals. The rule is the third in a series implementing the No Surprises Act, a bipartisan piece of legislation passed at the end of 2020 intended to protect patients from surprise OON billing.
See the Fact Sheet, Press Release, and the Interim Final Rule.
For additional information, see the attached Tax Alert.
Part II surprise billing requirements