Surprise Medical Billing

Nov 21, 2022
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…
Nov 21, 2022
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.
Nov 1, 2022
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…
Oct 20, 2022
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.
Oct 20, 2022
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…
Oct 18, 2022
The departments of Health and Human Services, Labor, and the Treasury today released an updated web form that will replace all existing methods for submitting Notice of Offers to certified Independent Dispute Resolution entities under the No Surprises Act. 
Oct 13, 2022
On Oct. 12, 2022 AHA hosted a member webinar on the requirements to provide good faith estimates to uninsured patients, with a specific focus on the challenges with operationalizing the convening provider/co-provider requirements. We provided a general overview of the good faith estimate…
Sep 27, 2022
The American Hospital Association, the American Medical Association and the Medical Group Management Association (MGMA) urge the CMS not to include a convening/co-provider framework when implementing the Advanced Explanation of Benefits and insured good faith estimate provisions under the No…
Sep 22, 2022
The American Hospital Association and American Medical Association will file an amicus brief in support of a lawsuit filed today by the Texas Medical Association challenging the federal government’s August final rule governing the No Surprises Act’s independent dispute resolution process, the…