Becker's Healthcare March 17, 2023
Representatives for both providers and payers say dispute arbitrators are often not following the No Surprises Act, Bloomberg Law reported March 16.
Quick federal guidance is being sought to restart the process where tens of thousands of cases sit unresolved, according to the report. CMS paused payment determinations for items or services furnished on or after Oct. 25, following a court decision that found it “continues to place a thumb on the scale” in favor of insurers. The determinations are paused until HHS, the Labor Department and Treasury Department issue further guidance.
Christopher Sheeron, president of Action for Health, told Bloomberg that because of the logjam in the independent dispute resolution process, independent physicians “aren’t getting paid a...
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