The “Emergency Medical Services and Surprise Bills” law, effective March 31, 2015, impacts billing and reimbursement for some out-of-network healthcare services. The law firm of Kaufman Borgeest and Ryan, LLP, recently provided its clients with a summary of the key provisions of the law that affect physicians and other healthcare professionals. The firm has generously offered to share its update with readers of MLMIC’s blog.
Here’s a preview:
Providers in New York State who are out-of-network with any of their patients’ insurance plans (or refer patients to out-of-network providers) should immediately review their billing practices for compliance with the state’s new Emergency Medical Services and Surprise Bills law. It subjects every NY licensed health care provider – physicians, physical therapists, hospitals, ambulatory surgery centers, home care agencies, etc. – to rules that:
- may reduce the amounts providers bill out-of-network patients,
- impose substantial new disclosure requirements regarding health plan coverage and patient fees, and
- set up a new dispute resolution process to resolve billing disputes between providers and health plans.
Click here to view the PDF of the client advisory from Kaufman Borgeest and Ryan, LLP.