Experts have been sounding the alarm on healthcare, between provider shortages, increasing costs, and layoffs. While practices have been working to come back from the financial pressures and lost revenue during the pandemic, they are additionally challenged with increases in staffing and supply costs.
To add to the complexity, the No Surprises Act has added yet another layer to the financial issues that providers are facing. The No Surprises Act essentially prohibits providers from billing patients for balances that are the result of care being provided by an out of network provider without their prior knowledge. Before the legislation came into effect, providers were allowed to balance bill a patient for services that were provided out of network.
While the No Surprises Act has allowed providers to pursue payers for what they feel is a correct payment through arbitration via a federal IDR portal, the amount of disputes filed have been overwhelming to the point the program has had several deferments and adjustments, delaying provider reimbursement as a result, reports WorkersCompensation.com. Read more.
