RevCycle Intelligence February 15, 2023
By Jacqueline LaPointe

A healthcare lawyer shares some surprising lessons learned from her experience with the No Surprises Act’s independent dispute resolution (IDR) process for out-of-network claims.

Nearly a year since the federal government launched the independent dispute resolution (IDR) process, Becky Greenfield, partner at Wolfe Pincavage, has learned a few things about the No Surprises Act (NSA) and out-of-network claim disputes.

“It’s apparent there needs to be some significant changes to the law in order for [the IDR process] to be workable,” Greenfield recently told RevCycleIntelligence.

The NSA protects patients from surprise medical bills when they receive emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance providers. It also establishes the IDR process, so providers...

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