No Surprises Act & Surprise Billing Regulations


Congress passed the No Surprises Act in December 2020 to eliminate surprise medical billing by physicians and facilities. Federal law regulates ERISA commercial health plans.

Two Dallas-based health care attorneys – Chris Reed and Kristi Harbord of Weaver Johnston & Nelson PLLC – examine the No Surprises Act and its effect on orthopaedic practices in Texas.

Accreditation Statement

The Texas Orthopaedic Association is accredited by the Texas Medical Association to provide continuing medical education for physicians.

CME Designation Statement

The Texas Orthopaedic Association designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Ethics Designation Statement

This course has been designated by the Texas Orthopaedic Association for 0.5 credits of education in medical ethics and/or professional responsibility.

Enduring Material

Original release date: April 1, 2022.

Termination date: April 1, 2023.

Presenter Disclosures

The presenters do not have relevant financial relationships to disclose: Chris Reed and Kristi Harbord.

Planner Disclosures

TOA mandates all instructors, planners, and other individuals in a position to control or influence the content of an educational activity to disclose all relevant financial relationships or affiliations during the past 24 months with any commercial interest. All identified conflicts of interest must be resolved and the education content vetted by the TOA for fair balance, scientific objectivity and appropriateness.

Ken J Kaminski, MD, FAAOS
Submitted on: 3.2.22

Vinod Kumar Panchbhavi, MD, FAAOS, FACS
Submitted on 2.17.22
DJO: Paid presenter or speaker
Stryker: Paid presenter or speaker

Luis H Urrea II, MD, FAAOS
Submitted on 3.6.22
Texas Orthopaedic Association: Board member
Texas Medical Association: Council member
Border Health Caucus: Chair
Tenet Physician Resources: Employment

Mitigation of Relevant Financial Relationships

TOA mitigated relevant financial relationships prior to the activity.

Learning Objectives

  • Determine how your practice will create Good Faith Estimates for uninsured and self-pay patients.
  • Determine how the No Surprises Act will affect the emergency care that you provide in hospitals.
  • Determine how the No Surprises Act will affect elective care that you provide in out-of-network circumstances.

The Video

Claim Your CME

Click here to claim your credit after you watch the video.