Radiology Business May 3, 2024
The Biden administration issued new guidance May 1, granting payers more time to comply with changes to the No Surprises Act. Radiology groups are not happy about it.
In August, a judge ruled that the methodology health insurers use to calculate the “qualifying payment amount”—the basis for negotiation over out-of-network reimbursement—is unfairly tilted in their favor. The ruling was brought about by a lawsuit from the Texas Medical Association et al., challenging how the administration has implemented the landmark law.
Payers were slated to stop using the old qualifying payment approach on May 1. However, the departments of HHS, Labor and Treasury are now giving them an additional six months to comply, until Nov. 1, responding to feedback from the...
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