Implementation of the No Surprises Act Spurs Surge in In-Network Claims
3/31/2024
On February 20, 2024, FAIR Health released a white paper on the implementation of the No Surprises Act (NSA). The White Paper focused on professional services in facility settings, particularly in specialties prone to surprise billing such as anesthesia, emergency medicine, pathology, and radiology.
Key findings indicate a predominant trend of in-network care, albeit with varying growth rates among specialties, with radiology maintaining the highest in-network percentage and emergency medicine experiencing the largest increase. Moreover, the study reveals a decline in allowed amounts as a percentage of billed amounts for both in-network and out-of-network services over the study period. Additionally, a convergence trend between average in-network and out-of-network allowed amounts was observed.
Related Practices: Healthcare Law
Related Attorney: Joseph M. Gorrell, Vanessa Coleman
Related Industry: Healthcare
