Trump Administration Reforms Surprise Billing Dispute Resolution

Trump administration reforms surprise billing dispute resolution

The industry has been waiting for regulators to finalize the rule amid snowballing concerns about how insurers and providers settle out-of-network claims. The regulation is aimed at making that process more efficient.

Final rule lowers No Surprises Act IDR fees, adds dispute requirements

Regulations issued Thursday to update the No Surprises Act’s independent dispute resolution (IDR) process represent an effort to improve access while also streamlining the volume of cases. CMS and the Departments of Labor and Treasury published a final rule that significantly lowers IDR fees but includes more requirements of the insurers and providers that seek to use the process. The rule affects how parties document out-of-network payment disp…

US HHS finalizes rule to streamline dispute resolution under No Surprises Act - Regional Media News

May 28 (Reuters) - The U.S. Department of Health and Human Services (HHS) on Thursday finalized a rule to streamline how out-of-network payment disputes between providers and health insurers are resolved, aiming to cut administrative costs. Here are a few details: • The rule, part of a federal law banning surprise medical bills from providers outside patients' insurance networks, aims to reduce ineligible disputes and lowering costs for provider…