ICD10monitor November 1, 2023
Cate Brantley, JD

Well, I’ve got a couple of updates for you in the absolute roller coaster that is the No Surprises Act’s Independent Dispute Resolution (IDR) process!

The federal government officially filed their formal notice of an intent to appeal the ruling on the Texas Medical Association’s (TMA’s) third lawsuit, conveniently called TMA III, regarding the calculation of the qualifying payment amount (QPA) in the IDR process.

There isn’t really any supporting documentation of what exactly their argument will be, but this is the first step in the process after the Centers for Medicare & Medicaid Services (CMS) announced their plans to appeal in guidance released early this month citing the outcomes of the most recent TMA cases.

This appeal is...

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