Healthcare DIVE April 19, 2022
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...