Wednesday, January 26, 2022, 1 p.m.
Qualified Payment Amounts (QPAs) and the No Surprises Act
With the passage of the Consolidated Appropriations Act, 2021 (the “CAA”), Congress ushered in the “No Surprises Act” with prohibitions on balance billing and an accompanying independent dispute resolution process. Under the “No Surprises Act,” patients are protected from surprise medical bills by being limited to in-network cost-sharing (i.e., deductibles, coinsurance, and copays) for “emergency” and other ancillary services at in-network facilities. In the absence of a contracted amount, patient cost-sharing is based upon a “Recognized Amount.” If state law is not applied, the “Recognized Amount” is the lesser of the billed charge or the Qualified Payment Amount (QPA).
Contact HBL for more details - this webinar is intended for members of the Society of Professional Benefits Administrators, but the content will benefit plan sponsors and other service providers, as well.