Home | 9/15/2022 Issue | Article

No Surprises IDRs stall, but new rules more likely to favor providers

Effective Sep 15, 2022
Published Sep 19, 2022
Last Reviewed Sep 15, 2022
Several federal agencies recently issued a set of final rules based on the No Surprises Act (NSA) that affects out-of-network reimbursement of providers. These rules should make it easier for providers to contest payer decisions — that is, if CMS can break the logjam in its independent dispute resolution (IDR) process, which experts caution the new rules may worsen.

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