Surprise Billing Dispute Resolution: Challenges, Lawsuits, and Proposed Changes (Health & Beauty - Health Services)

Item ID 2485356 in Category: Health & Beauty - Health Services

Surprise Billing Dispute Resolution: Challenges, Lawsuits, and Proposed Changes


This year, the CMS has frequently halted and resumed arbitration due to court cases causing disruptions in the regulatory process aimed at settling surprise billing disputes.

Summary Overview:
Last Friday, the CMS finalized its revamp of the No Surprises Act resolution process, fully reopening the portal for resolving disputes, including batched and single disputes for air ambulance services.

Throughout the year, the agency has gradually reinstated dispute resolution services following repeated pauses in the IDR process triggered by lawsuits from a Texas provider group.
The latest suspension in arbitrations probably led to procedural delays and a rise in the backlog of disputes, as highlighted in a recent report by the Government Accountability Office, which characterized the rollout of the IDR process as “challenging.”

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Target State: California
Target City : Glendale
Last Update : Dec 21, 2023 6:18 AM
Number of Views: 45
Item  Owner  : Brian Thomas
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Contact Phone: +1 08668542714

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2024-05-02 (0.453 sec)