Healthcare DIVE August 22, 2024
The most common complaints against providers were for surprise billing, while the top complaints for health plans included incorrectly calculating qualifying payment amounts.
Dive Brief:
- Federal regulators received more than 12,000 complaints that insurers and providers weren’t complying with the No Surprises Act through the end of June, according to new data released by the CMS.
- Regulators also won more than $1.7 million in restitution for consumers and providers from closed complaints related to the law, which banned surprise medical billing, an agency spokesperson said.
- The most common complaints against providers were for surprise billing for both emergent and non-emergent care, while top complaints against health plans were for calculating qualifying payment amounts, or QPAs, incorrectly.
Dive Insight:
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