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HHS and federal departments issue final rules to clarify No Surprises Act dispute resolution

The U.S. Departments of Labor, Health and Human Services, and the Treasury have issued final rules concerning standards related to the arbitration process in implementing the No Surprises Act. The final rules aim to clarify the process for providers and health insurance companies to resolve their disputes, the departments said in a Friday release.
United States Alex Wong Getty United States Department Of Health American Medical Association Texas Medical Association Human Services

HHS and federal departments issue final rules to clarify dispute resolution process in No Surprises Act

The U.S. Departments of Labor, Health and Human Services, and the Treasury have issued final rules concerning standards related to the arbitration process in implementing the No Surprises Act. The final rules aim to clarify the process for providers and health insurance companies to resolve their disputes, the departments said in a Friday release.
United States Alex Wong Getty United States Department Of Health Texas Medical Association Human Services American Hospital Association

Centers for Medicare & Medicaid Services IDR Guidance

CMS issued new guidance on the Independent Dispute Resolution IDR process, created under the No Surprises Act NSA to provide a mechanism for payers and providers to resolve disputes as to appropriate payment amounts for certain out-of-network claims
American Hospital Association District Of Columbia United States Centers For Medicare Medicaid Services Texas Medical Association Human Services

Qualifying Payment Amount Under the No Surprises Act

K&L Gates discuss the arbitration provision under the federal No Surprises Act, controversy around the qualifying payment amount (QPA), a recent decision in a Texas federal court that impacts the QPA, and new developments around the independent dispute resolution process.
Steven Pine Common Rule False Claims Act No Surprises Act Qualifying Payment Amount Ealth Care Triage Podcast

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