CMS plans to transition to an independent dispute resolution “gateway” during the second half of 2026, according to a March 16 email shared with Becker’s. The federal agency will move away from single ...

In a final rule on fees for disputed claims, Health and Human Services and other departments are finalizing an amount of $115 per party for disputes initiated on or after the effective date of this ...

The new final regulations illustrate the Departments’ commitment to quickly implementing and enforcing the protections established in the No Surprise Billing Rules. Federal litigation challenging the ...

On August 3, 2023, the U.S. Department of Health & Human Services (“HHS”), the Department of Labor, and the Department of Treasury (collectively, the “Departments”) temporarily suspended the federal ...

The No Surprises Act was designed to remove the costs of out-of-network providers as a barrier to patient care, but its independent dispute process has been an obstacle, Tony Mira, CEO of Anesthesia ...

The Biden administration has proposed a new rule refining several aspects of the healthcare services billing process in response to criticisms levied from all sides of the industry. Unveiled Friday ...

A proposed rule pertaining to the controversial No Surprises Act Dispute Resolution process, would, if finalized, require payers to provide additional information at the time of initial payment or ...

What happens to the embedded in-house dispute resolution process if the company turns away from the DEI (diversity, equity, and inclusion) policy for various reasons, including political ones? Or fear ...

Alternative dispute resolution, a process by which a neutral third party helps parties reach an agreement without litigation, is more successful during the pre-complaint stage compared with the formal ...