Surprise Medical Billing
The Departments of Health, Treasury and Labor (collectively, “the departments”) today opened the federal Independent Dispute Resolution (IDR) portal as authorized by the No Surprises Act. They also opened the patient-provider dispute resolution process and released updated guidance to IDR…
CMS plans to launch next week the online portal through which uninsured and self-pay patients may initiate the dispute resolution process.
The provision being challenged by AHA and AMA implicates the arbitration process for determining fair payment for services by out-of-network providers.
The federal government tells the court it anticipates issuing a final rule by early this summer, which is later than the May time period it had been expected.
The AHA and American Medical Association urge the U.S. District Court for the District of Columbia to act as quickly as possible to hold unlawful and vacate all provisions they are challenging in the federal government’s interim final rule on surprise medical billing, which took effect in January.
The AHA Friday the Centers for Medicare & Medicaid Services to evaluate and adjust the burden estimates associated with the uninsured and self-pay good faith estimates and patient-provider dispute resolution established under the No Surprises Act.
: Letter with comments to CMS on the burden estimates associated with the delivery of good faith estimates to uninsured and self-pay patients and the patient-provider dispute resolution process established under the No Surprises Act.
The Departments of Health and Human Services, Labor and the Treasury will revise their guidance on the arbitration process for determining payment for out-of-network services under the No Surprises Act to conform to a federal court ruling last week that struck down parts of the process.
A federal judge in Texas struck down certain parts of the federal government’s surprise medical billing regulations related to the arbitration process for determining payment for services by out-of-network providers, saying the regulations conflict with the text of the No Surprises Act.
A federal judge in Texas last night struck down certain parts of the federal government’s surprise medical billing regulations related to the arbitration process for determining payment for services by out-of-network providers, saying the regulations conflict with the text of the No Surprises Act.