Healthcare Finance News October 30, 2023
Disputing parties would be encouraged to negotiate before initiating the IDR process, departments say.
A proposed rule pertaining to the controversial No Surprises Act Dispute Resolution process, would, if finalized, require payers to provide additional information at the time of initial payment or notice of denial of payment.
The proposals aim to increase clarity and speed up the Federal Independent Dispute Resolution (IDR) process, which has been backlogged by claims.
The proposal for additional payer information was in response to feedback from payers and providers and to ensure all parties have the information necessary to determine whether a payment dispute is eligible for the Federal IDR process, according to the proposed rule issued by The department of Health...
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