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Resources to Navigate “No Surprises” Billing Requirements

Thursday, January 13, 2022

In 2020, the Michigan Legislature and United States Congress each enacted laws to regulate unexpected or “surprise” medical bills that a patient receives after receiving health care services from an out-of-network or nonparticipating provider. Last year, Michigan and federal agencies issued administrative rules and guidance to further implement the legislation, including with respect to fee limitations, transparency, and options for dispute resolution between providers and payors. Navigating these requirements just became more manageable with the Michigan State Medical Society’s (MSMS) Surprise Medical Billing Guide prepared by MSMS Legal Counsel.

This Guide addresses frequently asked questions, compares Michigan and federal laws and regulations, and offers template documents to help you meet disclosure and transparency requirements.  For more information, contact Stacey P. Hettiger.