On July 1, 2021, the Tri-Agencies released an Interim Final Rule (“IFR”) implementing the No Surprises Act. This is the first in a series of rules implementing the Consolidated Appropriations Act of 2021’s surprise billing and transparency requirements. The IFR is largely focused on how the surprise billing protections apply to group health plans and health insurance issuers, as well as how the Qualified Payment Amount (“QPA”) is calculated. There are some rules related to the initial payment for surprise billing claims from providers and notices of denial, as well as provider-focused rules.
In this webinar we will provide an overview of the No Surprises Act IFR.