Practice Management

No Surprises Act (NSA) Regulations Effective January 1, 2022

Important information for those providing care in outpatient settings to patients who are uninsured or self-pay or shopping for care.

As you are aware, regulations have been recently finalized that require certain patient protections to address concerns about surprise bills. These protections not only address emergency care but include disclosure requirements for all uninsured or self-pay services, including services provided in outpatient/office settings, and will, at some point in the future, also include patients with insurance. These regulations formalize some of what you already do when communicating your fees to patients seeking care or for whom you are providing care. View a summary of key requirements along with links to templates here. APA will update this information as we learn more.

Important information for those providing emergency services and inpatient care in facilities

The No Surprises Act (NSA) also aims to address situations in which patients receive surprise medical bills when they inadvertently or unknowingly receive care from an out-of-network provider. These new protections ban surprise billing for emergency services and certain non-emergency services provided in patient at facilities. View a summary of key requirements along with links to templates here. APA will update this information as we learn more.