Notice 2022-11: Indexing factor for provisions aimed at preventing surprise medical bills
An indexing factor for the qualifying payment amount for items and services furnished in 2022 for purposes of sections 9816 and 9817
An indexing factor for the qualifying payment amount for items and services
The IRS today released an advance version of Notice 2022-11 [PDF 149 KB] that provides an indexing factor for the qualifying payment amount for items and services furnished in 2022 for purposes of sections 9816 and 9817 (as added by the “No Surprises Act”) in the case of a group health plan or group or individual health insurance issuer that does not have sufficient information as of January 31, 2019, to calculate the median of the contracted rates or for new items and services.
The “No Surprises Act” was enacted as part of the Consolidated Appropriations Act, 2021. These measures are intended to protect participants, beneficiaries, and enrollees in group health plans and group and individual health insurance coverage from surprise medical bills when they receive emergency services, non-emergency services from nonparticipating providers at participating facilities, and air ambulance services from nonparticipating providers of air ambulance services (under certain circumstances).
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