Surprise Billing Handbook : A Guide for Lawyers and Providers.

Format:

Book

Author/Creator:

Rivet, Joseph R.

Contributor:

Gustafson, Jessica L.

Language:

English

Subjects (All):

Health insurance--Law and legislation.

Health insurance.

Dispute resolution (Law)--United States.

Dispute resolution (Law).

Physical Description:

1 online resource (240 pages)

Edition:

1st ed.

Place of Publication:

Cleveland : American Bar Association, 2025.

La Vergne : American Bar Association, 2025.

Summary:

This book provides a comprehensive guide to the Federal No Surprises Act (NSA), which aims to protect consumers from unexpected medical bills resulting from out-of-network healthcare services. Authored by Joseph L. Rivet and Jessica L. Gustafson, it explains the key provisions of the NSA, including federal protections against surprise billing, cost-sharing limitations, and the implementation of independent dispute resolution processes. The book also includes an overview of related state laws and regulations, as well as practical resources such as remittance advice remark codes and a state-by-state breakdown of balance billing laws. Aimed at lawyers, healthcare providers, and policymakers, the guide offers legal and procedural insights for navigating compliance with the NSA. It is intended for educational and informational purposes and does not serve as legal advice. Generated by AI.

Contents:

Cover

Title Page

Copyright Page

Contents

I. Introduction

II. Federal No Surprises Act

III. Conclusion

At-a-Glance: State Balance-Billing Laws and Administrative Rules

Appendix A: Remittance Advice Remark Codes Related to the No Surprises Act

Appendix B: Balance Billing Laws by State

Title 3 Alaska Administrative Code

Arizona Revised Statutes

Arizona Administrative Code

California Health and Safety Code

2016 California Assembly Bill 72

Colorado Revised Statutes

Rule 3 Colorado Code of Regulations

Connecticut General Statutes

Title 18 Delaware Code

Title 18 Delaware Administrative Code § 1316-1.0 to 1316-6.0

Florida Administrative Code

Florida Statutes

Georgia Compilation Rules and Regulations

Official Code of Georgia Annotated

Hawaii Revised Statutes

Idaho Code

Illinois Compiled Statutes

Indiana Statutes Annotated

Iowa Code

Louisiana Statutes Annotated Generated by AI.

Notes:

Title from eBook information screen..

Description based on publisher supplied metadata and other sources.

Part of the metadata in this record was created by AI, based on the text of the resource.

ISBN:

1-63905-583-5

OCLC:

1485003631