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Federal Texas Court Nixes Federal Agencies No Surprises Act Rule

February 28, 2022 By Cohen Howard

On February 23, 2022, a Federal Court in Texas issued a decision and final judgment that certain parts of the Interim Final Rules Part II (“Rules”) adopted under the No Surprises Act (“NSA”) are invalid.  Specifically, the Judge held that the … [Read more...] about Federal Texas Court Nixes Federal Agencies No Surprises Act Rule

Filed Under: Uncategorized

Impact of the No Surprises Act on Patient Collection and Consumer Credit Reporting

February 23, 2022 By Cohen Howard

The federal No Surprises Act (NSA) became effective January 1, 2022. The law is designed to protect patients from unexpected medical bills arising from emergency and most non-emergency services administered by out-of-network providers in certain … [Read more...] about Impact of the No Surprises Act on Patient Collection and Consumer Credit Reporting

Filed Under: Uncategorized

Underpayment is a Major Concern for EDs under the NSA

February 4, 2022 By Cohen Howard

The No Surprises Act (NSA) took effect January 1, 2022.  This Federal legislation requires out-of-network providers to navigate new rules and adhere to specific timeframes in order to protect their rights to challenge under-reimbursed or denied … [Read more...] about Underpayment is a Major Concern for EDs under the NSA

Filed Under: Uncategorized

What’s So Great About Being An In-Network Provider Under the No Surprises Act

November 12, 2021 By Cohen Howard

For years, insurance companies have operated networks of physicians and facilities which they pair with company benefit plans and their own insurance policies to facilitate “in-network” coverage for members.  Physician networks are marketed by … [Read more...] about What’s So Great About Being An In-Network Provider Under the No Surprises Act

Filed Under: Uncategorized

Breast Reconstruction and the Women’s Health and Cancer Rights Act (WHCRA)

October 8, 2021 By Cohen Howard

The Women's Health and Cancer Rights Act (WHCRA), passed by Congress in 1998 and adopted as part of the Employee Retirement Income Security Act (ERISA), was enacted to protect women from abuses related to health plan coverage for a mastectomy and … [Read more...] about Breast Reconstruction and the Women’s Health and Cancer Rights Act (WHCRA)

Filed Under: Uncategorized

Enforcement Provision of the No Surprises Act (NSA) Proposed Rule Issued

September 21, 2021 By Cohen Howard

The Departments of Health & Human Services (HHS), Labor, and the Treasury together with the Office of Personnel Management (OPM) issued, on September 10, 2021, a second set of regulations under the No Surprises Act (NSA). The proposed rule … [Read more...] about Enforcement Provision of the No Surprises Act (NSA) Proposed Rule Issued

Filed Under: Uncategorized

Will the No Surprises Act be Implemented as Lawmakers Intended?

May 13, 2021 By Cohen Howard

Xavier Becerra, Secretary of the U.S. Department of Health and Human Services (HHS) recently informed the House Appropriations Committee that he would be seeking feedback from stakeholders before enacting a policy to end surprise billing although he … [Read more...] about Will the No Surprises Act be Implemented as Lawmakers Intended?

Filed Under: News, Surprise Bill, Uncategorized

Out-of-Network Arbitrations Yield Favorable Results For Providers

March 3, 2021 By Cohen Howard

The New Jersey Department of Banking and Insurance (‘DOBI’) has published statistics tracking the number of Surprise Bill cases submitted to Maximus Federal, the DOBI contractor handling arbitration cases under the New Jersey Out-of-Network Consumer … [Read more...] about Out-of-Network Arbitrations Yield Favorable Results For Providers

Filed Under: Uncategorized

Elective surgeries may have been ceased, but plastic surgeons are not resting amid coronavirus pandemic

March 26, 2020 By Cohen Howard

During these unprecedented times, many elective surgeries have been suspended to allow for COVID-19 patients to receive necessary care in their time of need. This has halted most plastic surgeries for the time being, but plastic surgeons are not … [Read more...] about Elective surgeries may have been ceased, but plastic surgeons are not resting amid coronavirus pandemic

Filed Under: Uncategorized

NJ Surprise Bill Regulatory Alert — DOBI Publishes Implementation Bulletin

November 21, 2018 By Cohen Howard

On November 20, 2018, The New Jersey Department of Banking and Insurance (“DOBI”) released Bulletin No. 18-14 (the “Bulletin”) relating to Implementation of P.L. 2018 C. 32 (N.J.S.A. 26:2SS-1 to -20) Out-of-Network Consumer Protection, Transparency, … [Read more...] about NJ Surprise Bill Regulatory Alert — DOBI Publishes Implementation Bulletin

Filed Under: Uncategorized

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