NCMS Morning Rounds 7-21-21

Happy Wednesday! Enjoy your NCMS Morning Rounds.

July 21, 2021

‘No Surprises Act’ Summary

The American Medical Association (AMA) offers this summary of the recent Interim Final Rule (IFR) implementing certain provisions of the No Surprises Act, which was passed by Congress to address surprise billing. Centers for Medicare and Medicaid Services (CMS) fact sheets on the IFR can be found here and here.

The provisions outlined in the IFR become effective on Sept. 13, 2021, however, the US Department of Health and Human Services, the labor and treasury departments and the Office of Personnel Management requested comments on several aspects of the rule. The AMA will provide detailed comments upon a full analysis of the IFR by the Sept. 7 comment period deadline. This is the first of several regulations on the No Surprises Act, which will go into effect on January 1, 2022.

Additional regulations will be forthcoming on the Independent Dispute Resolution process, price comparison tools and certain transparency requirements. Rules on other No Surprises Act provisions, including insurance card requirements, continuity of care, provider network directions and prohibition on gag clauses, may not be published until next year.

Review the AMA’s summary of the IFR here.

The interim final rule with comment period can be accessed here

Special Waivers Granted Due to COVID May Expire Soon

With North Carolina’s state of emergency declaration currently set to expire July 30, certain waivers granted to health care professionals also will expire if the declaration is not extended once again.

Waivers include emergency medical licenses issued by the NC Medical Board (NCMB) due to the COVID-19 pandemic for those who may be licensed in another state, but who wish to treat patients in North Carolina, including via telemedicine. Learn more on the NCMB’s website here. All such emergency licenses will expire 30 days after the Governor declares the state of emergency has ended.

The Federation of State Medical Boards offers this state by state summary of the current status of the various waivers granted due to the pandemic. Access this chart here to stay up-to-date.

NCMS Book Club Fall Selection

The NCMS Book Club’s latest selection is The Leavers: A Novel by Lisa Ko.

Janet Maslin of The New York Times writes that this novel, a National Book Award finalist, tells “a story that unfolds in graceful, realistic fashion and defies expectation.”

Ko’s detailed character development and use of language are sure to result in wonderful conversation among book club members. Please consider joining your NCMS colleagues as we read The Leavers: A Novel. The fall book club begins Aug. 5 and runs until Oct. 7. Discussion is online. Sign up today at this link.

Learn more about the book and purchase your copy here.

In the News

What Vaccinated People Should Know About COVID-19 Exposure, Tests and More, CNN, 7-18-21

Learning Opportunity

National Stakeholder Call on No Surprises Act: July 22 at 3:30pm
You are invited to national stakeholder call on “Requirements Related to Surprise Billing; Part I,” an interim final rule that will restrict excessive out of pocket costs to consumers from surprise billing and balance billing on July 22 at 3:30pm
Call-in information:
Call Number: 888-455-1397
Participant passcode: 8758359

If you have policies you’d like your NCMS Board of Directors to consider, please complete the Board input form here. Thanks for reading!


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