You’re in for a Big Surprise: Here’s what the Surprise Billing Act has in Store for you in 2022!
- SolvEdge
- Dec 14, 2025
- 6 mins read
The No Surprise Billing Act 2022 has ironically raised eyebrows of many industry leaders across the healthcare landscape. According to the announcement made by the U.S. Department of Health & Human Services (HHS), this may be an end of an era for Surprise Billing in out-of-network billing. Here’s our take on what the No Surprise Act has in store for the Medical groups, different POVs from various organizations, ways to navigate the act, what to expect in 2022 and how to stay compliant with the newly announced law.
Dive In
The No Surprise Act (NSA) is slated to come into effect from 1st Jan 2022 and proposes to establish balanced billing that mitigates the impact of out-of-network payment disputes. However, not many healthcare systems seem to be in agreement with the announcement.
The healthcare leaders have given a conclusive statement that the Surprise billing act 2022 does not address many of the concerns of the stakeholders. The No Surprise Act has raised controversies amongst the healthcare leaders, hospitals and Physician groups across the nation who claim that the law offers limited protection and patient access to care.
| Hard-Hitting Facts You Don’t Want to Ignore! | ||
|---|---|---|
| 1 in 3 Insured adults report that their family had an unexpected medical bill. | 1 in 6 Had a surprise medical bill related to an out-of-network provider. | <$500 Requiring over $500 in payment — creating bankruptcy among patients and their families. |
| This is about to change. Beginning January 1, 2022… | ||
|---|---|---|
| Payment disputes will be between providers and insurers, not patients. | No surprise bills: providers must provide good faith cost estimates to uninsured or self-pay patients. |
New payment dispute process for uninsured or self-pay patients to settle charges higher than good faith estimates. |
| Sources: Kaiser Family Foundation, HHS | ||
As highlighted by the HHS, private medical insurance policy holders are faced with exorbitant costs in terms of Surprise billing. From $1200 for services offered by Anesthesiologists to $2600 for surgical assistants, patients most often get unanticipated medical bills for out-of-network care. The new law is slated to protect patients from these unforeseen expenses.
No one should have to worry about going bankrupt after falling ill or seeking critical care. The report shows that despite some state efforts to tackle surprise medical bills, patients continue to experience exorbitant medical expenses due to lack of transparency and rules. The Biden-Harris Administration will continue implementing federal regulations from the No Surprises Act to not only protect the patients but also curb rising costs in health care.
Xavier Becerra, Health and Human Services Secretary, HHS
How to Stay Compliant with the Interim Final Rule?
The Interim Final Rule gives a snapshot of how care providers can take proactive measures to stay compliant with the balance billing protocols. Hospitals and Medical Practices need to have robust revenue cycle strategies and automated medical billing solutions that can help streamline efficiencies and maximize financial outcomes.
Healthcare organizations can consider partnering with experienced medical billing service experts who work in tandem with the latest policies and guidelines set by the federal government.
They work with advanced medical billing software tools by integrating intuitive solutions that seamlessly make changes and upgrades in the backend—for maximized operational efficiencies. An expert healthcare revenue cycle management team like SolvEdge comprises experienced medical billers, certified coders, technologists, Doctors, PhDs and SMEs who work together to deliver excellence in every endeavor.
SolvEdge is a trusted name in the healthcare space. Having partnered with over 450 hospitals and 3800 Physicians, our strong foothold in the healthcare landscape with over 18 years of experience in catering to a wide array of healthcare clientele, we have consistently delivered on our promise to Simplify healthcare experiences for all our stakeholders.
To get a personalized and free consultation of our medical billing services, Give us a shout!
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