RevCycle Intelligence May 15, 2023
By Jacqueline LaPointe

A status update from the federal government confirms an ongoing backlog of cases in the independent dispute resolution process, which resolves surprise billing disputes.

Nearly a year after the federal government launched the independent dispute resolution (IDR) process under the No Surprises Act, over 330,000 balance billing disputes have been filed, nearly 14 times more than the Departments of Health and Human Services (HHS), Labor, and the Treasury expected.

CMS recently published the status update on the federal dispute resolution process containing the latest numbers on initiated disputes, dispute eligibility, and results of payment determinations. In addition to confirming an ongoing backlog of IDR cases, the update also revealed a high success for initiating parties, which have largely been providers.

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