Becker's Healthcare October 27, 2023
Andrew Cass

Federal officials issued proposed changes to the No Surprises Act’s independent dispute resolution process in an Oct. 27 news release. They said those changes, if finalized, will improve communication between payers providers and certified IDR entities, create a more efficient dispute resolution process and change the administrative fee structure to improve accessibility.

Eight things to know:

1. Under the proposal, a party choosing to initiate open negotiations must provide an open notice and a copy of the remittance advice or notice of denial of payment to the other party and the federal departments through the IDR portal. This is a change from the current process, in which a party must contact the other party directly to initiate open...

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Topics: CMS, Govt Agencies, HHS, Insurance, Patient / Consumer, Payer, Provider
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