Surprise Billing Resource Center
Effective January 1, 2022, consumers have new billing protections when getting emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers. The No Surprises Act (NSA) established new federal protections against surprise medical bills and balance billing for services received from out-of-network providers.
The Quadax Resource Center is here to help keep you up to date on the latest regulations.
Helping to protect people from surprise medical bills
CMS No Surprises Act Website
{NEW} On Friday, April 15, 2022 the Federal Independent Dispute Resolution (IDR) Portal Launched.
Review rules and fact sheets on what No Surprises rules cover, and get additional provider resources with more information. Learn how out-of-network payment disputes between providers and health plans will be decided, apply to become a dispute resolution entity, or submit feedback on applicants.
Podcasts and Transcripts
CMS Open Door Forums
CMS sponsors regularly scheduled “Open Door Forums” providing an opportunity for live dialogue between CMS and the stakeholder community at large. These forums are intended for all stakeholders who interact with CMS or work with consumers who rely on services that CMS provides. Access the most recent NSA forums under the heading Special, Open Door Forums (ODF).
No Surprises Act Resource Center
Surprise Billing Articles, Bulletins, Fact Sheets, Webinars
Date | Article | Source |
2/16/2024 | Surprise billing disputes continue to far outpace federal estimates: CMS | |
11/8/2023 | No Surprises Act (NSA) Toolkit for Consumer Advocates | |
10/27/2023 | Biden-Harris Administration Advances Efforts to Improve the Surprise Billing Payment Dispute Process | |
7/12/2023 | First Annual No Surprises Act Report Released | |
7/7/2023 | Labor, HHS and Treasury release new No Surprises Act and Transparency in Coverage FAQs | |
6/15/2023 | No Surprises Act website for consumers | |
5/15/2023 | Independent Dispute Resolution Case Load 14X More Than Expected | |
4/19/2023 | Experts Assess the Effects of the No Surprises Act on Surprise Billing | |
3/20/2023 | CMS Says All Payment Determinations Under No Surprises Act Must Resume | |
3/9/2023 | Federal Court Strikes Down No Surprises Act Dispute Resolution Rules | |
2/24/2023 | CMS instructs some NSA billing arbitration decisions to resume following court-ordered pause | |
2/14/2023 | CMS halts, recalls billing arbitration decisions after Texas court vacates guidance | |
1/31/2023 | CMS Arbitration Backlog, Fee Hike Add to Labs' Surprise Billing Challenges | |
1/26/2023 | CMS Increases Federal IDR Arbitration Fee | |
1/18/2023 | No Surprises Act Payment Disputes Are Getting Out of Hand, CMS Says | |
1/16/2023 | Most Disputed Claims Included Emergency Department Codes, Says IDR Report | |
1/13/2023 | Chart Regarding Applicability of the Federal Independent Dispute Resolution (IDR) Process in Bifurcated States (PDF) | |
1/13/2023 | Chart for Determining the Applicability for the | |
1/5/2023 | Top No Surprises Act disputes by type of CPT code | |
1/4/2023 | The portal to resolve surprise bills has been inundated with disputes — SCP Health tops the list | |
1/4/2023 | Most closed No Surprises Act disputes were deemed ineligible | |
1/3/2023 | Federal IDR Process Faces More Disputes Than Expected, Backlog Growing | |
12/12/2022 | Struggling With GFEs? Revenue Cycle Leaders Will See Needed Relief | |
12/6/2022 | 6 things to know about the 1st year of the No Surprises Act | |
12/2/2022 | CMS gives providers breathing room on looming advanced good faith cost estimates | |
11/17/2022 | 5 Ways to Reduce No Surprises Act Burdens | |
11/1/2022 | Agencies release No Surprises Act guidance on independent dispute resolution process, fees | |
10/25/2022 | Some State Surprise Billing Resolution Processes Favor Providers | |
10/24/2022 | Patients Still Receive Surprise Medical Bills, Including for Medical Laboratory Testing, Despite Enactment of Federal No Surprises Act That Became Law on Jan. 1, 2022 | |
10/12/2022 | MGMA survey: New good faith estimates causing extreme burdens for physician practices | |
9/28/2022 | CMS Urged to Lighten Rev Cycle Staff Burden | |
9/27/2022 | AHA, AMA Dismiss Federal Surprise Billing Case, But Remain Concerned | |
9/27/2022 | Good Faith Estimates - What Pathologists Need to Know (Webinar) | |
9/23/2022 | No Surprises Act Could Lead to Uptick in Emergency Department Visits | |
9/16/2022 | Request for Information; Advanced Explanation of Benefits and Good Faith Estimate for Covered Individuals | |
9/13/2022 | State Surprise Billing Laws Impact Out-of-Network Provider Charges | |
8/19/2022 | NSA FAQs | |
8/19/2022 | HHS and federal departments issue final rules to clarify No Surprises Act dispute resolution | |
8/16/2022 | CMS Releases Guidance on Independent Dispute Resolution Process | |
8/9/2022 | CAP Releases Good Faith Estimate Toolkit for Pathologists | |
8/8/2022 | Physician practices seek more time to comply with No Surprises rules | |
7/2/2022 | Surprise billing rule also strikes down insurer ED policies | |
6/30/2022 | No Surprises Act: Fact Sheets for Your Patients | |
6/9/2022 | Atlanta system 1st in US to face CMS fines for price transparency violations | |
6/8/2022 | Price transparency noncompliance rampant, especially in concentrated markets, rural areas | |
6/8/2022 | AMGA Asks CMS to Amend Good Faith Estimate Policy, Guidance | |
6/7/2022 | CMS urged to extend enforcement discretion for No Surprises Act requirement | |
5/24/2022 | No Surprises Act May Have Blocked 2M Surprise Billing Claims | |
5/19/2022 | MGMA Recomends Priority Changes to Improve IDR Portal | |
5/5/2022 | HHS' surprise-billing appeal on hold | |
5/3/2022 | Air Ambulance Provider Sues Over No Surprises Act | |
4/29/2022 | Price Transparency Rule is a Burden for Hospitals | |
4/29/2022 | AMA Guide for Physicians: Disputing Out-of Network Payments Using the No Surprises Act Independent Dispute Resolution Process | |
4/28/2022 | Webinar: Out-of-network payment process under the No Suprises Act | |
4/27/2022 | CMS revises its guidance on the independent dispute resolution process | |
4/26/2022 | HHS appealing Texas judge's surprise billing ruling | |
4/25/2022 | HHS to appeal Texas ruling that struck down key parts of surprise billing rule | |
4/12/2022 | Federal Independent Dispute Resolution (IDR) Process Guidance for Certified IDR Entities | |
4/7/2022 | AHA, AMA Ask Court to Vacate IDR Provisions in Surprise Billing Rule | |
4/7/2022 | Surprise billing compliance 'very daunting,' regulatory experts say | |
4/7/2022 | How The No Surprises Act Seeks to Change Surprise Billing | |
4/7/2022 | FAQs for Providers about the No Surprises Rules | |
3/18/2022 | No Surprises Act Quiz: Test your understanding of the law | |
3/11/2022 | WEDI Voices Concerns About Good Faith Estimates Implementation | |
3/10/2022 | Good Faith Estimate Requirement Lays Bare Rev Cycle Woes | |
3/9/2022 | AHA: Good Faith Estimates Create Administrative Burden for Hospitals | |
3/7/2022 | Surprise Billing Ban Opens Door for CFPB to Curb Medical Debt | |
3/7/2022 | Feds consider next steps for No Surprises Act | |
2/28/2022 | CMS Provides Update on Good Faith Estimate Requirements | |
2/24/2022 | Judge orders key parts of surprise billing arbitration rule vacated, handing providers crucial win | |
1/28/2022 | AMA Advocacy Insights webinar series: Implementing the No Surprises Act | |
1/14/2022 | Detailed Summary of No Surprises Act | |
1/14/2022 | The No Surprises Act is in effect. What physicians need to know. | |
1/11/2022 | Medical organizations continue to fight surprise-billing dispute process: 5 details | |
1/11/2022 | HHS Releases Patient-Provider Dispute Resolution Guidance from No Surprises Act | |
1/7/2022 | Before New Ban, the Prevalence of Surprise Bills | |
1/2/2022 | The No Surprises Act: Beyond the emergency department, a silver lining of patient engagement | |
1/1/2022 | A New Ban on Surprise Medical Bills Starts Today | |
12/31/2021 | Establishing the Building Blocks for Price Transparency - Industry Guidance on Provider to Payer Approaches for | |
12/31/2021 | Telemedicine Providers Take Note – The No Surprises Act Is Effective January 1, 2022 | |
12/15/2021 | No Surprises Act Resources | |
12/14/2021 | What physicians need to know about the No Surprises Act | |
12/13/2021 | 4 Barriers Providers Face with Preventing Surprise Medical Bills | |
12/10/2021 | No Surprises Act Implementation: What to Expect in 2022 | |
12/9/2021 | Hospital and doctor groups sue Biden officials over surprise billing rules |