Surprise Medical Billing

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…
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. 
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…
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…
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…
The AHA and AMA 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 departments of the Treasury, Labor, and Health and Human Services released a request for information to inform future rulemaking to implement advanced explanation of benefits and good faith estimate requirements under the No Surprises Act.