decisionhealth Newsletters, Part B News - 2023 Issue 3 (March)
No Surprises IDR freeze ends; new guidance may (or may not) sway litigants
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Article Overview
This article explains recent updates to the federal No Surprises Act independent dispute resolution process, including a temporary operational freeze, the resumption of payment determinations, and new joint guidance from HHS, CMS, the Department of Labor, and Treasury. It is relevant to providers, health plans, billing professionals, and legal/regulatory stakeholders who follow surprise billing policy, dispute resolution procedures, and related litigation. The piece also places the guidance in the context of ongoing court challenges over how the process is administered.
Why This Topic Matters
The article matters because it addresses how federal agencies are adjusting the No Surprises Act dispute resolution process after court setbacks, which may affect how disputes are handled and how parties respond to the updated guidance.
What You Will Learn
- How recent court decisions affected federal administration of the No Surprises Act dispute resolution process
- What the latest federal guidance is intended to address at a high level
- Which agencies are involved in the updated guidance and process restart
- Why the dispute resolution changes matter for parties involved in surprise billing disputes
Who Should Read This
- Providers
- Health plans
- Medical billing professionals
- Revenue cycle staff
- Health care attorneys
- Compliance professionals
- Regulatory affairs professionals
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