Healthcare DIVE January 4, 2023
Physician staffing and revenue cycle management firms filed the most disputes, led by SCP Health, formerly the Schumacher Group.
Federal regulators said the portal used to resolve payment disputes between healthcare providers and insurers has been inundated with requests for a third-party to intervene.
The volume of disputes filed in a five-month window exceeded the amount the departments initially anticipated receiving for a full year, according to a report authored by three federal agencies, including the HHS.
About 90,000 disputes were submitted to the federal independent dispute resolution portal between April 15 and Sept. 30. About 26% of those disputes have been considered closed, with 15%, or about 3,570 reaching a payment decision.
Regulators said the delay in processing disputes...
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