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| New Surprise Billing Regs: How Cost Sharing Will Be Calculated Healthcare Financial Management Association [HFMA]; free registration required  [Guidance Overview] July 15, 2021 "The [qualifying payment amount (QPA)] will be used to cap a patient's cost-sharing responsibility for out-of-network care unless they have formally consented to be balance-billed ... Health plan payments then will be determined via either negotiations or an independent dispute resolution (IDR) process that will be spelled out in rulemaking later this year." |
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