July 13, 2023

ACEP, EDPMA Outline Challenges with Surprise Billing Law Implementation

On Monday, ACEP and the Emergency Department Practice Management Association (EDPMA) wrote the Senate Health, Education, Labor and Pensions (HELP) Committee to outline recommendations to improve the flawed implementation of the No Surprises Act.

The letter follows ACEP participation in a June 29 roundtable hosted by the Committee. ACEP was able to use its platform to advocate for process improvements that can help ensure fair and timely reimbursement and ensure that the law is working as Congress intended.

From the beginning, ACEP has worked with policymakers and regulators to protect patients from surprise bills. ACEP supports the No Surprises Act and continues to try to operate within the framework of what is meant to be a fair and transparent process to resolve billing disputes. 

Suggestions include improving access to the independent dispute resolution (IDR) portal, enhancing the application process, and scaling back the associated administrative fee. Other recommendations include steps to prevent insurers from gaming or delaying the process and holding them accountable when they fail to comply with the requirements of the law.


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