HHS PROPOSED RULE IMPLEMENTS NEW AIR AMBULANCE REPORTING REQUIREMENTS

Due to the air ambulance market that frequently results in surprise bills, the U.S. Department of Health and Human Services (HHS) announced a proposed rule that requires plans, issuers of individual health insurance coverage, and providers of air ambulance services to submit detailed data regarding air ambulance services specified in the reporting requirements of the “No Surprises Act.”   The proposed rule also allows HHS to collect data related to market trends and costs in an effort to address air ambulance expenses.

Currently, air ambulance providers are prohibited from sending surprise bills to Medicaid and Medicare beneficiaries. This prohibition typically does not apply to those with private insurance, as air ambulance trips are typically out-of-network. The No Surprises Act addresses this and bans surprise bills for patients who use out-of-network air ambulance services and limits the amount they pay out of pocket, starting next year.

More details available at: https://www.cms.gov/newsroom/fact-sheets/air-ambulance-nprm-fact-sheet

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.