The New Federal Surprise Billing Law: What Air and Ground Ambulance Services Must Know
A National EMS Event - Sponsored by Metro Aviation
Wednesday, February 24, 2021 | 2:00-4:00pm EDT
Congress has just passed one of the biggest pieces of legislastion in its history - over 5500 pages of new law. Some of it will profoundly change ambulance billing - and, as always, the respected national experts at PWW have you covered.
For EMS, the biggest aspect of the new law is the “No Surprises Act” – which, for the first time, will prevent certain balance billing practices by air ambulance services in the United States. Air ambulance services who provide out-of-network services will be significantly restricted in their ability to bill commercially-insured patients beyond the in-network cost sharing amounts. The new law provides a new, two-step method for providers and payors to agree on rates, including an “open negotiation period” and a new “Independent Dispute Resolution” (IDR) process that must be used when air ambulance services and insurers can’t agree on the compensation amount for their claims.
The new law also contains massive new air ambulance reporting requirements – including cost reporting.
And although ground ambulance services escaped the balance billing limitations that will be imposed on air ambulances, the law contains some extremely important provisions that could foretell the future for ground ambulance services as well.
The game-changing new air ambulance provisions will take effect in 2022. In this comprehensive national EMS law webinar, PWW will cover these and other critical topics:
- What ambulance services are covered under the new law?
- Do insurers have to pay providers directly, or can they pay the patient?
- What are the billing limitations, and will they apply to emergency and non-emergency services alike?
- How does the new Independent Dispute Resolution (IDR) process work, and what if I don’t like the result?
- How long does an IDR determination establish my rates?
- Does an IDR determination apply only to one claim, or all my claims?
- What are the timeframes for the open negotiation period and the IDR process spelled out in the new law?
- What documentation and data will be required to support our rate requests when we go through the IDR process?
- What do ground ambulance services have to know about the new law, and what comes next?
We will tackle these questions – and many more – during this crucial webinar event. There will also be time for attendee questions.
This webinar is approved for 2.0 hours of CEU credit for CAC (elective) and CACO.
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