{"id":23078,"date":"2024-07-15T09:10:03","date_gmt":"2024-07-15T13:10:03","guid":{"rendered":"https:\/\/medicarereport.org\/?p=23078"},"modified":"2024-07-15T09:10:05","modified_gmt":"2024-07-15T13:10:05","slug":"cms-cites-aetna-in-1st-no-surprises-act-audit","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=23078","title":{"rendered":"CMS cites Aetna in 1st No Surprises Act audit"},"content":{"rendered":"\n<p>(By Rylee Wilson for <em>Becker&#8217;s Hospital Review<\/em>)<\/p>\n\n\n\n<p>Aetna failed to accurately calculate qualified payment amounts for air ambulance services, CMS&#8217; first audit of an insurer&#8217;s No Surprises Act compliance found.<\/p>\n\n\n\n<p>The audit, issued May 29, examined the rates Aetna Health in Texas charged for an out-of-network air ambulance provider between January and June 2022.  Continue reading <a href=\"https:\/\/www.beckerspayer.com\/payer\/cms-cites-aetna-in-1st-no-surprises-act-audit.html\" data-type=\"link\" data-id=\"https:\/\/www.beckerspayer.com\/payer\/cms-cites-aetna-in-1st-no-surprises-act-audit.html\">here&#8230;<\/a><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" width=\"175\" height=\"61\" class=\"wp-image-7780\" style=\"width: 175px;\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/CMS-logo.jpg\" alt=\"\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/CMS-logo.jpg 382w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/CMS-logo-300x105.jpg 300w\" sizes=\"auto, (max-width: 175px) 100vw, 175px\" \/><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>\u00a0The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(By Rylee Wilson for Becker&#8217;s Hospital Review) Aetna failed to accurately calculate qualified payment amounts for air ambulance services, CMS&#8217;<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,21],"tags":[1422,1421,80,238,311],"class_list":["post-23078","post","type-post","status-publish","format-standard","hentry","category-cms","category-health-care-finance","tag-air-ambulance","tag-audit","tag-cms","tag-healthcare-finance","tag-no-surprises-act"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/23078","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=23078"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/23078\/revisions"}],"predecessor-version":[{"id":23079,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/23078\/revisions\/23079"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23078"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23078"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23078"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}