RevCycle Intelligence October 30, 2023
The surprise billing proposals address the open negotiation process for independent dispute resolutions, batching, and eligibility determinations.
The Biden-Harris Administration has released a proposed rule to improve the independent dispute resolution (IDR) process for surprise billing by addressing payer-provider communication and adjusting open negotiation policies.
The No Surprises Act established a 30-business-day open negotiation period to allow disputing parties to agree on a payment rate without using the federal IDR process.
To improve communication between payers and providers during the open negotiation period, the Departments of Health and Human Services, Labor, and the Treasury (the Departments) have proposed to require that a party provide an open negotiation notice to the other party through the federal IDR portal to initiate the...
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