The No Surprises Act has reportedly done its job in preventing an estimated 9 million surprise medical bills since going into effect at the start of this year, but for providers, the law has created a revenue cycle and regulatory quagmire.
Payment rates for out-of-network claims favor the insurer; the burden is on hospitals to determine whether patients are being billed correctly, and good faith estimates to patients need a system-to-system infrastructure that’s just not there.
