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CMS adds two new No Surprises Act IDR entities
The departments of Health and Human Services, Labor, and the Treasury have certified two more independent dispute resolution entities, bringing the total number to 15.
CMS releases No Surprises Act complaint data, enforcement report
The Centers for Medicaid and Medicare Services Aug. 20 released a report presenting data on complaints and enforcement efforts by the agency concerning title XXVII of the Public Health Service Act, which includes both the surprise billing and price transparency provisions of the No Surprises Act.
Appeals court affirms district court decision invalidating provisions in No Surprises Act
The 5th Circuit Court of Appeals Aug. 2 affirmed a district court's decision to set aside certain regulations implementing the No Surprises Act. In particular, the decision invalidates regulatory provisions governing how arbitrators are to weigh the qualifying payment amount in arbitration proceedings.
Agencies to reopen comment period for No Surprises Act IDR rule
The departments of Health and Human Services, Labor and the Treasury will reopen the public comment period for their proposed rule to improve the No Surprises Act independent dispute resolution process for 14 days beginning Jan. 22 to provide additional time for interested parties to comment.
AHA urges additional changes to improve No Surprises Act independent dispute resolution process
AHA Feb. 5 voiced support for many provisions in a proposed rule to improve how the No Surprises Act independent dispute resolution process functions, but said the departments of Health and Human Services, Labor and the Treasury still need to address several issues critical to the functionality of the IDR process.
CMS to host webinar on Good Faith Estimate requirements
The Centers for Medicare & Medicaid Services will host a webinar Jan. 16 at 1 p.m.
AHA files amicus brief challenging district court decision rendering IDR awards unenforceable
The AHA filed an amicus brief Oct. 4 in the U.S. Court of Appeals for the 5th Circuit challenging a decision by the U.S. District Court for the Northern District of Texas, which ruled that independent dispute resolution awards under the No Surprises Act are judicially unenforceable.
Agencies announce 120-day extension for IDR disputes impacted by Change Healthcare cyberattack
The Departments of Health and Human Services, Labor, and the Treasury June 14 announced a 120-day extension for parties impacted by the cyberattack on Change Healthcare to open disputes under the No Surprises Act independent dispute resolution process.
Agencies release new process for resubmitting IDR disputes
The departments of Health and Human Services, Labor, and the Treasury May 1 released a new process for resubmitting disputes under the No Surprises Act independent dispute resolution process that were originally improperly batched or bundled.
Providers won over 7 in 10 NSA payment disputes in first half of 2023, CMS data show
Gain valuable insights from CMS data, indicating that health care providers and facilities won 72% and 79% of payment disputes in the first and second quarters of 2023. Explore the latest trends in payment determination outcomes.