Becker's Healthcare December 8, 2021
Hospitals across the U.S are pushing federal officials to change the surprise-billing dispute resolution process and provide clarity on good faith estimates for uninsured patients.
CMS unveiled Sept. 30 a second interim final surprise-billing rule that outlined several provisions of the No Surprises Act, including the federal independent dispute resolution process and good faith estimate requirements for uninsured patients. Comments on the interim final rule were due Dec. 6.
While the American Hospital Association, which represents nearly 5,000 hospitals, supports protecting patients from out-of-network surprise bills, the association argues that the independent dispute resolution process adopted by the federal agencies will be effectively “unavailing for providers.”
In particular, the association takes issue with a metric that will be used...