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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

EditorialEditorial

The No Surprises Act: What Neuroradiologists Should Know

T.H. Nguyen, R.E. Heller, K. Keysor, J.M. Milburn, E.Y. Rula, R. Spangler and J.A. Hirsch
American Journal of Neuroradiology January 2023, 44 (1) 7-10; DOI: https://doi.org/10.3174/ajnr.A7739
T.H. Nguyen
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R.E. Heller
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K. Keysor
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J.M. Milburn
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E.Y. Rula
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R. Spangler
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J.A. Hirsch
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References

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    . Health Tracking Poll: Late Summer 2018: The Election, Pre-Existing Conditions, and Surprises on Medical Bills. Kaiser Family Foundation. September 5, 2018. https://www.kff.org/health-costs/poll-finding/kaiser-health-tracking-poll-late-summer-2018-the-election-pre-existing-conditions-and-surprises-on-medical-bills/. Accessed January 16, 2022
  2. 2.↵
    Centers for Medicare & Medicaid Services. What You Need to Know about the Biden-Harris Administration’s Actions to Prevent Surprise Billing. July 1, 2021. https://www.cms.gov/newsroom/fact-sheets/what-you-need-know-about-biden-harris-administrations-actions-prevent-surprise-billing. Accessed January 3, 2022
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    U.S. Department of Health and Human Services. Federal Independent Dispute Resolution (IDR) Process Guidance for Certified IDR Entities. February 11, 2022. https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/Technical-Assistance-IDR-Entities-August-2022.pdf. Accessed June 2, 2022
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    Centers for Medicare & Medicaid Services. No Surprises Act: overview of rules & fact sheets. August 29, 2022. https://www.cms.gov/nosurprises/Policies-and-Resources/Overview-of-rules-fact-sheets. Accessed January 3, 2022
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    Avalere Health. PCP Contracting Practices and Qualified Payment Amount Calculation under the No Surprises Act. August 2, 2022. https://www.acr.org/-/media/ACR/Files/Advocacy/2022-8-15-Avalere-QPA-Whitepaper_Final.pdfPublished. Accessed September 1, 2022
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    Personnel Management Office, the Internal Revenue Service. Requirements Related to Surprise Billing; Part II. October 7 2021 https://www.govinfo.gov/content/pkg/FR-2021-10-07/pdf/2021-21441.pdf. Published 8/07/2021. Accessed November 15, 2021
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    Personnel Management Office, Internal Revenue Service. Requirements Related to Surprise Billing; Part I. July 13, 2021. https://www.federalregister.gov/documents/2021/07/13/2021-14379/requirements-related-to-surprise-billing-part-i. Accessed August 21, 2021
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    . UnitedHealthcare guided Yale’s groundbreaking surprise billing study. The Intercept. August 10, 2021. https://theintercept.com/2021/08/10/unitedhealthcare-yale-surprise-billing-study/. Accessed January 5, 2022
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    . Re: Necessity to amend rate agreement, response needed before November 21, 2021. November 5, 2021. https://www.documentcloud.org/documents/21116581-20211105-bcbsnc-rate-reduction-notice_redacted?responsive=1&title=1. Accessed August 25, 2022
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    . Here’s what the new ban on surprise medical billing means for you. NPR. December 30, 2021. https://www.npr.org/sections/health-shots/2021/10/14/1045828215/ban-on-surprise-medical-bills. Accessed January 3, 2022
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    The White House. Fact Sheet: Executive Order on Promoting Competition in the American Economy. July 9, 2021. https://www.whitehouse.gov/briefing-room/statements-releases/2021/07/09/fact-sheet-executive-order-on-promoting-competition-in-the-american-economy/.Published 7/09/2021. Accessed August 21, 2021
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    1. Pierson B
    . UnitedHealthcare underpaid TeamHealth provides: Nevada jury. Reuters. November 11, 2021. https://www.reuters.com/legal/litigation/unitedhealthcare-underpaid-teamhealth-provides-nevada-jury-2021-11-30/. Accessed January 20, 2022
  15. 15.↵
    California Medical Association. Lawsuits filed over No Surprises Act. December 21, 2021. https://www.cmadocs.org/newsroom/news/view/ArticleId/49618/Lawsuits-filed-over-No-Surprises-Act. Accessed January 5, 2022
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    American Medical Association. AMA and AHA file lawsuit over No Surprises Act final rule. December 9, 2021. https://www.ama-assn.org/press-center/press-releases/ama-and-aha-file-lawsuit-over-no-surprises-act-final-rule. Accessed January 8, 2022
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    . Health Care Providers Fight Arbitration Rule in No Surprises Act. The Commonwealth Fund. March 17, 2022. https://www.commonwealthfund.org/blog/2022/health-care-providers-fight-arbitration-rule-no-surprises-act. Accessed March 20, 2022
  18. 18.↵
    Department of Labor. Memorandum Regarding Continuing Surprise Billing Protections for Consumers. February 28, 2022. https://www.dol.gov/agencies/ebsa/laws-and-regulations/laws/no-surprises-act/memorandum-regarding-continuing-surprise-billing-protections-for-consumers. Published 2/28/2022. Accessed June 26, 2022
  19. 19.↵
    Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department. Requirements Related to Surprise Billing: Final Rules. August 26, 2022. https://www.federalregister.gov/documents/2022/08/26/2022-18202/requirements-related-to-surprise-billing. Accessed August 30, 2022
  20. 20.↵
    1. Goldman M
    . Texas Medical Association files another surprise billing lawsuit. Modern Healthcare. September 22, 2022. https://www.modernhealthcare.com/legal/surprise-billing-lawsuit-texas-doctors. Accessed October 10, 2022
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American Journal of Neuroradiology: 44 (1)
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T.H. Nguyen, R.E. Heller, K. Keysor, J.M. Milburn, E.Y. Rula, R. Spangler, J.A. Hirsch
The No Surprises Act: What Neuroradiologists Should Know
American Journal of Neuroradiology Jan 2023, 44 (1) 7-10; DOI: 10.3174/ajnr.A7739

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Neuroradiologists and the No Surprises Act
T.H. Nguyen, R.E. Heller, K. Keysor, J.M. Milburn, E.Y. Rula, R. Spangler, J.A. Hirsch
American Journal of Neuroradiology Jan 2023, 44 (1) 7-10; DOI: 10.3174/ajnr.A7739
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