CMS just announced that certified independent dispute resolution (IDR) entities must resume making payment determinations for disputes involving items or services furnished on or after October 25 ...

The Centers for Medicare & Medicaid Services (CMS) has again suspended arbitration of out-of-network payment disputes between providers and payers due to a court order that the agency’s impleme ...

While CMS provided some relief at the end of February when it instructed certified IDR entities to resume making determinations for payment disputes involving services provided before October 25 ...

CMS contracts with a state’s department of health to conduct the annual and complaint surveys. When surveyors claim noncompliance exists regarding the ROP found at 42 CFR part 483, they “cite ...

The No Surprises Act (NSA) went into effect Jan. 1, 2022, with the goal of protecting consumers from unexpected medical bills. The NSA places numerous ...

On Friday, CMS released an FAQ document concerning the No Surprises Act’s IDR administrative fee. In the document, the agency said that the fee amount for disputes initiated on or after August 3 ...

CMS said in a Feb. 10 letter that the departments are evaluating and updating the IDR process guidance, systems and related documents to make them consistent with the court’s decision.

CMS temporarily suspended all federal IDR processes on Aug. 25 in response to a Texas judge’s latest ruling in a series of lawsuits challenging provisions of the No Surprises Act.