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CMS issues revised guidance for independent dispute resolution process

The Centers for Medicare and Medicaid Services has issued revised guidance for the independent dispute resolution (IDR) process that is part of the No Surprises Act implementation. Certified IDR entities have now resumed processing all payment determinations, after a delay issued by the Department of Health and Human Services and other departments following a February 6 court
United States Jeffrey Davis Alex Wong Getty United States Department Of Health Texas Medical Association Human Services

No More Surprise Medical Bills: Providers Continue to Pursue Additional Challenges to Government Rulemaking Under No Surprises Act | ArentFox Schiff

In parallel cases, health care providers are continuing to challenge rulemaking by the US Departments of Treasury, Labor, and Health and Human Services (the Departments) under the No...
United States Arentfox Schiff Human Services The Departments Texas Medical Association Human Services Qualifying Payment Amount

Healthcare Providers Lawsuits Against US Departments Rulemaking

Healthcare providers challenge rulemaking by Departments of Treasury, Labor, and Health and Human Services under the No Surprises Act. Having won two cases involving rulemaking, providers are challenging different provisions of the same rules in lawsuits TMA III and TMA IV.
United States Human Services The Departments Texas Medical Association Human Services Qualifying Payment Amount Department July

Upcoming Medical Field Challenges For 2023

Ten legal challenges for the health care industry in 2023 include end of the Covid-19 public health emergency, Supreme Court ruling regarding False Claims Act, Dobbs and reproductive health, No Surprises Act implementation, nursing home industry scrutiny, telehealth privacy.
United States Xavier Becerra Roev Wade Arentfox Schiff Health Care American Hospital Association Enforcement Policy In Health Care

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Court rules as unlawful the arbitration process of No Surprises Act final rule

A federal court has vacated provisions of a final rule regarding the arbitration process under the No Surprises Act and remanded it back for further consideration. On Monday, U.S. District Court Judge Jeremy Kernodle sided with the Texas Medical Association's argument that the final rule unlawfully conflicts with the NSA in restricting arbitrators' discretion and unlawfully
United States Garyw Floyd Jeremy Kernodle Alex Wong Getty Texas Medical Association Department Of Health

HIMSSCast: The entangled legal battle over the No Surprises Act

The No Surprises Act, which was signed into law in 2020 and went into effect on January 1, 2022, aimed to take patients out of billing conflicts between providers and payers. By all accounts, this part of the law has been successful in preventing patients from getting a surprise medical bill when they see an out-of-network physician at an in-network hospital. But for providers
United States Gary Qualls Susan Morse Kl Gates Health Care Texas Medical Association Health Care Payor

[Webinar] No Surprises Act Update: The Latest Litigation, Enforcement and Implementation Challenges - February 16th, 3:00 pm - 4:00 pm ET | Manatt, Phelps & Phillips, LLP

The No Surprises Act (NSA), which went into effect January 1, 2022, was designed to protect patients from surprise medical bills when they are treated in out-of-network emergency...
Steve Chiu Harvey Rochman Marina Shvarts Health Care Litigation Manatt Health Qualifying Payment Amount

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