Table of Contents Since its passage in 2022, insurers and providers are continuing to learn and implement the provisions of the Surprise Billing Act. While…
While ongoing litigation and shifting rule interpretations have led to a rocky start since the 2022 launch of the No Surprises Act, they are not…
The overwhelming response to the 2022 passing of the No Surprises Act legislation has led to a growing backlog of federal Independent Dispute Resolution (IDR)…
The No Surprises Act was created to protect patients from unexpected medical bills and set up the Independent Dispute Resolution (IDR) process to sort out…
Friday, June 14, 2024 — The Departments of Health and Human Services, Labor, and the Treasury (collectively, the Departments) are announcing a 120-calendar-day exception period…
Under the No Surprises Act, the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury have certified 13…
The most important factor impacting an Independent Dispute Resolution (IDR) entity’s determination is the accuracy and completeness of each party’s documentation. An arbitrator considers only…
The No Surprises Act (NSA) was enacted on December 27, 2020, to address certain instances of surprise billing – circumstances where individuals with private health…
Types of Closures Not Eligible A dispute can be considered not eligible to proceed in the IDR process for the following reasons; *The Federal IDR…
As billing disputes involving a single item or service are common, there are circumstances when an IDRE can review multiple items or services simultaneously to…