Post

No Surprises Act and Price Transparency

The federal rules against surprise out-of-network bills, the independent dispute resolution process, and the hospital and payer price-transparency files.

No Surprises Act and Price Transparency

Coming soon. This post is a placeholder in the US Healthcare learning path. The outline below is what it will cover.

What this post will cover

  • Surprise billing and what the No Surprises Act prohibits
  • Good faith estimates for uninsured and self-pay patients
  • Independent dispute resolution (IDR) between payers and providers
  • Hospital price transparency
  • Transparency in Coverage machine-readable files from payers
  • The data engineering challenge of processing those files

Where this fits

Level 2 · Core workflows › HIPAA, privacy and regulation

This post is licensed under CC BY 4.0 by the author.