Healthcare DIVE April 19, 2022
Samantha Liss

Dive Brief:

  • The online portal for resolving payment disputes between payers and providers for certain out-of-network charges is now open, the CMS said Monday. The portal initiates what’s known as the federal independent dispute resolution process, a key part of the No Surprises Act that outlaws balance bills in most cases. As a last resort, it allows payers and providers to resolve payment disputes using an arbitration style similar to the model adopted by Major League Baseball in salary negotiations.
  • A federal court ruling in February threw a wrench in plans to open the portal. The Texas judge’s ruling invalidated a specific part of the law pertaining to the dispute resolution process, forcing regulators to pull back guidance for...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Govt Agencies, Insurance, Patient / Consumer, Provider
CMS extends special enrollment period for persons no longer eligible for Medicaid, CHIP
39 physician specialties ranked by total pay from 2013-2022
1 Year Later: How Has the Unwinding of Medicaid Continuous Enrollment Gone?
Understanding CMS’ AHEAD Model: Medicare Hospital Global Budget Design and Implications
‘Borderline Useless’ CMS Data Needs an Overhaul, Starting with the Addition of Medicare Advantage to Cost Reports

Share This Article