CMS Reports more than 12,000 No Surprises Act Complaints So Far this Year

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9/30/2024

The Centers for Medicare and Medicaid Services (CMS) recently released a report regarding complaints and enforcement efforts concerning No Surprises Act. According to the report, CMS received more than 12,000 complaints of No Surprises Act violations through June 30, 2024. Of those complaints, nearly 2,000 were against payors and over 10,000 were against providers, including individual providers, health care facilities and air ambulance providers. According to the report, CMS has directed payors and providers to take remedial corrective actions to address instances of non-compliance with the No Surprises Act, resulting in over $4 Million in monetary relief paid to consumers or providers. The No Surprises Act was signed into law in 2020 and took effect at the beginning of 2022. The law is intended to prevent “surprise bills” by ensuring that providers inform patients in advance of the cost of receiving care and whether or not the provider is in-network or out-of-network with the patient’s insurance plan.

Click Here to read the entire September 2024 Healthcare Law Update now!

For more information, contact:
John D. Fanburg, Chair | 973.403.3107 | jfanburg@bracheichler.com
Jonathan J. Walzman | 973.403.3120 | jwalzman@bracheichler.com
Andrew Kuder | 973.403.3141 | akuder@bracheichler.com

*This is intended to provide general information, not legal advice. Please contact the authors if you need specific advice.

John D. Fanburg

Managing Member
Healthcare Law, Cannabis Industry

973.403.3107 · 973.618.5507 Fax

Jonathan J. Walzman

Member
Healthcare Law, Corporate Transactions & Financial Services

973.403.3120 · 973.618.5561 Fax

Related Practices:   Healthcare Law

Related Industry:   Healthcare