
The No Surprises Act (NSA) addresses the situation of what happens when an out-of-network provider sees a patient in an in-network facility.

Patients forgetting and/or not receiving a reminder of an upcoming appointment was found to be the leading cause of patient no-shows. Scheduling conflicts and transportation issues followed as the next two most common factors. When combined, these top three issues account for nearly two thirds of all missed appointments.

There may be technical safeguards practices can implement within practice management and billing systems to satisfy these new requirements from the No Surprises Act to avoid any unintentional balance billing; however, there is no guarantee such stopgap systems will catch all potential scenarios.

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As MIPS reporting is coming to an end for 2021, practices nationwide are asking themselves if they need to start preparing for 2022 to report MIPS.