Congress must fix the No Surprises Act before it bankrupts patients and employers, James Gelfand and Patricia Kelmar write.

CMS plans to transition to an independent dispute resolution “gateway” during the second half of 2026, according to a March 16 email shared with Becker’s. The federal agency will move away from single ...

In a final rule on fees for disputed claims, Health and Human Services and other departments are finalizing an amount of $115 per party for disputes initiated on or after the effective date of this ...

On August 3, 2023, the U.S. Department of Health & Human Services (“HHS”), the Department of Labor, and the Department of Treasury (collectively, the “Departments”) temporarily suspended the federal ...

The No Surprises Act’s Independent Dispute Resolution process remains operational despite the government shutdown. CMS said Oct. 2 that all standard dispute timelines continue to apply but warned that ...

A proposed rule pertaining to the controversial No Surprises Act Dispute Resolution process, would, if finalized, require payers to provide additional information at the time of initial payment or ...

The Biden administration has proposed a new rule refining several aspects of the healthcare services billing process in response to criticisms levied from all sides of the industry. Unveiled Friday ...

Under the No Surprises Act, consumers are protected from financial liability beyond normal in-network cost sharing when they receive emergency services by an out-of-network facility or provider, ...

The Centers for Medicare and Medicaid Services is extending independent dispute filing deadlines through at least mid-October after the Change Healthcare cyberattack threw the process into disarray.

Alternative dispute resolution, a process by which a neutral third party helps parties reach an agreement without litigation, is more successful during the pre-complaint stage compared with the formal ...

As of 1 January 2022, the IDR Process is now in effect. Accordingly, providers offering applicable items and services will need to quickly familiarize themselves with the mechanics and intricacies of ...