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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.
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.
On April 14, 2022, the Centers for Medicare & Medicaid Services (CMS) issued new guidance on the Independent Dispute Resolution (IDR) process, created under the No Surprises Act (NSA)...
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
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.