{"id":2056,"date":"2022-08-22T15:16:14","date_gmt":"2022-08-22T20:16:14","guid":{"rendered":"https:\/\/www.bbrown.com\/?post_type=insight&#038;p=2056"},"modified":"2023-04-25T15:44:59","modified_gmt":"2023-04-25T20:44:59","slug":"updated-guidance-regarding-no-surprises-act-prescription-drug-reporting-and-wellness-program-costs","status":"publish","type":"insight","link":"https:\/\/www.bbrown.com\/us\/insight\/updated-guidance-regarding-no-surprises-act-prescription-drug-reporting-and-wellness-program-costs\/","title":{"rendered":"Updated Guidance Regarding No Surprises Act Prescription Drug Reporting and Wellness Program Costs"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row row_style=&#8221;page-hero&#8221; full_width=&#8221;stretch_row_content&#8221;][vc_column]\n\t<div class=\"hero hero--wrap    \">\n\n\t\t<div class=\"hero--background-image hero--background-image-blur\">\n\t\t\t<div class=\"hero--overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"hero-background\" style=\"background: url(https:\/\/www.bbrown.com\/wp-content\/uploads\/2022\/08\/AdobeStock_251217520-2-scaled.jpeg) center center no-repeat; background-size: cover;\"><\/div>\n\t\t\t\t\t<\/div>\n\n\t\t<div class=\"hero--container\">\n\t\t\t<div class=\"container\">\n\t\t\t\t<div class=\"hero--inner width-100\">\n\n\t\t\t\t\t\n  <div class='content-heading  100%  '>\n    <p class='text-white subheading'>Employee Benefits<\/p>\n    <h1 class='text-white    '>\n      Updated Guidance Regarding No Surprises Act Prescription Drug Reporting and Wellness Program Costs\n    <\/h1>\n\t\n  <\/div>\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t<\/div>\n\n\t\n[\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;]\n  <div class='content-heading  100% content-heading--ruled '>\n    \n    <h1 class='text-brand-dark-blue    h2'>\n      Updated Guidance Regarding No Surprises Act Prescription Drug Reporting and Wellness Program Costs\n    <\/h1>\n\t\n  <\/div>[vc_column_text]We previously authored an article about the requirement to report certain wellness costs under the No Surprises Act\u2019s prescription drug reporting requirement. The article provided in-depth information on the regulations\u2019 requirement to report on wellness spending, as detailed in the then-current CMS Prescription Drug Data Collection (RxDC) Reporting Instructions.<\/p>\n<p>Since we first wrote the article on the wellness cost reporting requirement, CMS released revised Prescription Drug Data Collection (RxDC) Reporting Instructions, which are available <a href=\"https:\/\/regtap.cms.gov\/uploads\/library\/RxDC-Section-204-Reporting-Instructions-06-30-2022.pdf\" target=\"_blank\" rel=\"noopener\">here<\/a>. The new instructions reduce the ambiguity in the prior instructions regarding the wellness program reporting and significantly limit the scope of the wellness costs that need to be reported.<\/p>\n<p>The updated instructions now provide that only \u201cwellness services billed on a claim\u201d need to be included in the \u201cother medical costs and services\u201d reporting category and specifically exclude \u201cwellness services that are not covered services under a plan or policy.\u201d The instructions provide that for reporting purposes, \u201cwellness services are defined as activities primarily designed to implement, promote, and improve health.\u201d<\/p>\n<p>Because the instructions do not further define the term \u201cwellness services,\u201d we cannot opine on whether they are intended to include each and every service covered by a medical plan which promotes and improves health and wellness and which are billed to the medical plan on a claim.[\/vc_column_text]\t<div class='wpb_content_element text-left btn-container'>\n\t\t\t\t\t<a class='btn btn-brand-green  '\n\t\t\t\thref='https:\/\/www.bbrown.com\/wp-content\/uploads\/2022\/08\/Updated-Guidance-Regarding-No-Surprises-Act-Brown-Brown-1.pdf' target='_blank' data-toggle=''>\n\t\t\t\t<span class=\"btn-text-color--default\">Continue Reading<\/span>\n\t\t\t<\/a>\n\t\t\t<\/div>\n[\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1390&#8243; alignment=&#8221;center&#8221; style=&#8221;vc_box_circle_2&#8243;][vc_separator border_width=&#8221;2&#8243; el_width=&#8221;60&#8243;][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\">Regulatory and Legislative Strategy Group<\/h6>\n<p>[\/vc_column_text]\t<div class='wpb_content_element text-center btn-container'>\n\t\t\t\t\t<a class='btn btn-brand-dark-blue  '\n\t\t\t\thref='\/us\/contact\/contact-general\/' target='' data-toggle=''>\n\t\t\t\t<span class=\"btn-text-color--default\">Connect Now<\/span>\n\t\t\t<\/a>\n\t\t\t<\/div>\n[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row row_style=&#8221;page-hero&#8221; full_width=&#8221;stretch_row_content&#8221;][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]We previously authored an article about the requirement to report certain wellness costs under the No Surprises Act\u2019s prescription drug reporting requirement. The article provided in-depth information [&hellip;]<\/p>\n","protected":false},"author":66,"featured_media":2057,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"insight_category":[31,73],"class_list":["post-2056","insight","type-insight","status-publish","has-post-thumbnail","hentry","insight_category-employee-benefits","insight_category-regulatory-and-legislative-strategy"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.0 (Yoast SEO v27.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Updated Guidance Regarding No Surprises Act Prescription Drug Reporting and Wellness Program Costs - Brown &amp; Brown<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bbrown.com\/us\/insight\/updated-guidance-regarding-no-surprises-act-prescription-drug-reporting-and-wellness-program-costs\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Updated Guidance Regarding No Surprises Act Prescription Drug Reporting and Wellness Program Costs\" \/>\n<meta property=\"og:description\" content=\"[vc_row row_style=&#8221;page-hero&#8221; full_width=&#8221;stretch_row_content&#8221;][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]We previously authored an article about the requirement to report certain wellness costs under the No Surprises Act\u2019s prescription drug reporting requirement. 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Brown","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.bbrown.com\/us\/insight\/updated-guidance-regarding-no-surprises-act-prescription-drug-reporting-and-wellness-program-costs\/","og_locale":"en_US","og_type":"article","og_title":"Updated Guidance Regarding No Surprises Act Prescription Drug Reporting and Wellness Program Costs","og_description":"[vc_row row_style=&#8221;page-hero&#8221; full_width=&#8221;stretch_row_content&#8221;][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]We previously authored an article about the requirement to report certain wellness costs under the No Surprises Act\u2019s prescription drug reporting requirement. 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