Agencies release No Surprises Act guidance on independent dispute resolution process, fees
The departments of Health and Human Services, Labor, and the Treasury yesterday released guidance on the federal independent dispute resolution process for certified IDR entities and disputing parties under the No Surprises Act regulations, and calendar year 2023 IDR fees.
For CY 2023, IDR administrative fees will be $50 for each disputing party and certified IDR entities may charge $200-$700 for single determinations and $268-$938 for batched determinations. The IDR entity guidance addresses information health plans must share about the qualifying payment amount; downcoding; the removal of requirements vacated by the U.S. District Court for the Eastern District of Texas; and requirements related to decision explanations.
Related News Articles
Headline
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…
Headline
The Centers for Medicaid and Medicare Services Aug. 20 released a report presenting data on complaints and enforcement efforts by the agency concerning title…
Headline
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…
Headline
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…
Headline
The departments of Health and Human Services, Labor and the Treasury Dec. 18 released a final rule that increases the administrative fee for disputes initiated…
Headline
The departments of Health and Human Services, Labor and the Treasury will give health care providers and insurers initiating a payment dispute through Jan. 16…