Surprise Medical Billing
Effective Feb. 27, certified independent dispute resolution entities will resume issuing payment determinations for payment disputes involving out-of-network services and items furnished before Oct. 25, 2022, the Centers for Medicare & Medicaid Services announced.
AHA provides additional recommendations on implementation of the independent dispute resolution (IDR) process included in the No Surprises Act.
A Texas judge yesterday held that the federal government’s revised independent dispute resolution process for determining payment for out-of-network services under the No Surprises Act skews the arbitration results in commercial insurers’ favor in violation of the compromise Congress reached in the…
A Texas judge held that the federal government’s revised independent dispute resolution process for determining payment for out-of-network services under the No Surprises Act skews the arbitration results in commercial insurers’ favor in violation of the compromise Congress reached in the Act.
The Centers for Medicare & Medicaid Services (CMS) today released new guidance extending an enforcement delay of the uninsured/self-pay good faith estimate convening provider requirements until further rulemaking to establish a standard technology or transaction. Under the No Surprises Act,…
The final rule published in August to implement the independent dispute resolution process under the No Surprises Act “follows neither the letter nor the intent of the law,” leaders of the House Ways and Means Committee Friday told the departments of Health and Human Services, Labor and the…
In a letter to the departments of Health and Human Services, Labor and the Treasury, leaders of the House Ways and Means Committee call for changes to No Surprises Act dispute resolution process.
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…
The AHA and AMA filed a friend-of-the-court brief claiming the revised independent dispute resolution process for determining payment for out-of-network services under the No Surprises Act skews the arbitration results in commercial insurers’ favor.
The AHA and American Medical Association friend-of-the-court brief in support of a Texas Medical Association lawsuit claiming the revised independent dispute resolution process for determining payment for out-of-network services under the No Surprises Act skews the arbitration results in…