CMS plans to transition to an independent dispute resolution “gateway” during the second half of 2026, according to a March ...

The Centers for Medicare & Medicaid Services March 16 announced it will transition later this year to a new centralized ...

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 ...

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 ...

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 ...

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 ...

The Centers for Medicare and Medicaid Services is extending independent dispute filing deadlines through at least mid-October after the Change Healthcare cyberattack threw the process into disarray.

Large public infrastructure projects typically involve several stakeholders and a complex array of contracts and subcontracts. A thoughtful approach to the negotiation and drafting of contractual ...

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 ...

Responding to an antitrust lawsuit the company faces from Particle Health, Epic Systems is asking the Carequality interoperability network to share some further information about the dispute. The EHR ...