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Home Industry News New Legislation for the No Surprises Act Provides Extra Billing Protection to Consumers

New Legislation for the No Surprises Act Provides Extra Billing Protection to Consumers

28th November 2022

Recent legislation called the No Surprises Act, commonly referred to as surprise billing, aims to provide customers additional billing protection.

When discussing what approach should be taken prior to implementing these requirements, the ADA explained it “strongly believes and encourages” advanced explanation of benefits standards should be integrated into dental plans as they work in tandem with good faith estimates for both supplier and customer advantage.

Dental plans must give individuals an initial description of benefits alongside the supplier’s good faith estimate.

According to the ADA, “It is not appropriate to require dental practices to have to issue a good faith estimate to the carrier when the carrier has no obligation to issue an advanced explanation of benefits to the patient.”

Numerous dental practises currently employ practise management and automated dental records which are not able to be approved by the Office of the National Coordinator for Health Information Technology because they are not advanced enough.

“Small practices constitute a large group of dental businesses” and “operate on dental software products which meet the minimum requirements for daily operation and care delivery.”
“New technology requirements are likely to increase costs for these practices, in addition to the disruption of implementing new software and the loss of administrative time for training” creating “a significant burden on the practice and” preventing “providers from participating in programs that are tied to such requirements.”

Prior to imposing restrictions on dental practises, substantial government incentives and expenditures are required to encourage standards to be upheld by the dental practise management software sector.

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