Anyone who has worked within the federal Independent Dispute Resolution process understands that accurate details and correct timing are critical to a fair outcome. But some of the rules, even under the new final rule, can be confusing. Take the cooling off period, which has long been a source of confusion and even frustration. When does it start and end? How are initiation dates impacted? When does a cooling off period actually apply?
To help your team avoid errors associated with manually counting days on a calendar, FHAS has developed a new Cooling-Off Calculator to streamline the process and help your team plan and work more effectively.
How does it work?
The FHAS Cooling-Off Calculator compares the service code, funding type, and group numbers between the prior dispute and the upcoming dispute, then calculates 90 calendar days from the prior dispute’s determination date. Enter the details for both disputes, and the tool will tell you whether the cooling-off period still applies – and if so, when it ends. If it doesn’t apply, the tool will show how many of the 30 business days (measured from the end of the cooling-off period) remain to submit your new dispute.
Still have questions about the IDR cooling off period?
You’re not alone if many questions remain about how the cooling off period works, which claims apply, and what will change – and when – under the final rule. Visit our comprehensive guide The Cooling Off Period: What Providers and Health Plans Need to Know, to learn more and feel “cool” and confident with the cooling off period. And remember: the people at FHAS are here to support you.
Contact us anytime for a consult on any aspect of the program or the impacts of the final rule. We look forward to hearing from you.
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The information contained in this content piece is for general informational purposes only. While we strive to ensure the accuracy and completeness of the information presented, we make no representations or warranties of any kind, express or implied, about the accuracy, reliability, suitability, or availability with respect to the content or the information, products, services, or related graphics contained in the content piece for any purpose. Any reliance you place on such information is therefore strictly at your own risk. The content of this page is subject to change without notice. The information provided in this document does not constitute legal or other professional advice, and is non-binding upon FHAS and any federal government agencies.
