February 13, 2023
Payers
  • CMS notified providers and health plans involved in dispute resolution under the Surprise Billing Act to put their payment determinations on hold. Last week, a federal judge ruled in favor of the Texas Medical Association regarding a challenge against the Biden administration and certain components of the rule. According to the statement, “The Departments are currently reviewing the court’s decision and evaluating current IDR processes, guidance, templates, and systems for updates that will be necessary to comply with the court’s order.” (Statement here)
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