Billing & Coding: No Surprise Act

Welcome to your billing and coding weekly solutions by H.J. Ross Company where getting your bills paid is what we do best!

Are you aware of the No Surprise Act1 effective January 1, 2022?

The No Surprise Act1 (NSA) protects uninsured or self-pay individuals from any unexpectedly high medical bills.  

The NSA requires healthcare providers and facilities give uninsured or self-pay individuals an estimate of the cost of their health care before agreeing to get the item or service.

Who does the No Surprise Act1 effect?

Patients with no health insurance (cash patients).

Patients with health insurance who receive an item or service not covered by their plan or coverage.

Patients with health insurance who choose not use their plan or coverage to pay for a portion or all of the costs for the item or service.

As a chiropractic provider your duty is to:

Provide a good faith estimate of expected charges for items and services to patient ($400 threshold).

Provide a clear estimate of charges and the likely out of pocket cost to the patient.

Thankfully, H. J. Ross & Company has over 40 years of experience in dealing with a wide range of chiropractic billing issues.

H. J. Ross Company understands billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution.

H.J. Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.