HHS Now Introduces New Surprise Bill Compliance Rules

The new rule addresses nearly all concerns related to surprise medical bills. It gives a guideline about areas where clinicians have to be careful and how state and federal rules can work together.

CMS has promised the betterment of the healthcare system in the US through its Merit-based Incentive Program. That’s why it has made several changes every year. Currently, MIPS 2022 is almost at its ending phase and we have MIPS 2023 framework. Thereby, clinicians are now in a hurry to fulfill the current data completeness requirements for the upcoming MIPS reporting program.

MIPS 2023 will have a relatively rigid framework. Those clinicians who are deciding to report quality measures in MIPS 2023 are entered in the preparatory phase. MIPS reporting for quality measures requires clinicians to submit data for 70% of eligible encounters to CMS. However, this weightage will be upgraded for MIPS 2024 and 2025 PY.


Comments

  1. What are the details of the new surprise bill compliance rules introduced by HHS?

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  2. As of my knowledge cutoff in September 2021, the U.S. Department of Health and Human Services (HHS) had introduced new surprise bill compliance rules. These rules aimed to protect patients from unexpected medical bills by establishing guidelines for out-of-network emergency services, out-of-network air ambulance services, and requirements for advance notice of out-of-network charges. For the most up-to-date information, it is recommended to refer to the latest updates from HHS or visit their official website.

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