Radiology Business March 22, 2023
CMS has resumed the process, spelled out in the No Surprises Act, for resolving out-of-network payment disputes between providers and insurers, a move praised by radiologists and other docs.
The federal government had partially halted this key activity in February in response to a Texas judge’s order, decreeing that portions of the framework violate federal rules. Physician groups including the American College of Radiology have since pressured the feds to resume this process and address a growing stack of unresolved cases, and CMS has now obliged.
With the March 17 relaunch, the agency has revised its guidance for independent dispute resolution, taking into account the Feb. 6 court order. This includes stipulating that arbiters must take into account all evidence...