tci Medicare Compliance & Reimbursement - 2023 Issue Q3

No Surprises Act: See Latest Twist on Independent Dispute Resolutions

Court decision causes Federal IDR process operations suspension. Since lawmakers announced the No Surprises Act in 2021 and the feds implemented the provisions through a series of final rules, stakeholders have argued against specific parts. From industry consternation to myriad lawsuits, the legislation has taken some hits while the regulators continue to address issues and tweak requirements. Read on for the latest update. Refresher: Surprise billing has been on the Centers for Medicare & Medicaid Services’ (CMS) agenda for years, but it wasn’t until Congress tackled the problem in the Consolidated Appropriations Act, 2021 with regulatory reform that...

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