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 ...

A new federal rule aims to overhaul the No Surprises Act protocols, particularly as large volumes of disputes are pushed to ...

The Biden administration on Thursday finalized new parameters for health insurers and providers settling disputes over ...

The US Departments of Treasury, Labor, and Health and Human Services have issued a sweeping final rule (CMS-9897-F) implementing significant ...

Healthcare providers, physician groups, hospitals, health plans, insurers, staffing companies, investors, and private equity-backed healthcare platforms should prepare for operational, reimbursement, ...

The No Surprises Act, implemented in 2022, was designed to shield patients from unexpected medical bills and set up an independent dispute resolution process for payers and physician groups to settle ...

May 28 (Reuters) - The U.S. Department of Health and Human Services (HHS) on Thursday finalized a rule to streamline how ...

Spine and orthopedic practices that use the federal Independent Dispute Resolution process to challenge out-of-network underpayments are about to see a significant fee reduction. HHS, CMS, the ...

Optional mediation language preserves flexibility by allowing parties to decide, once a dispute arises, whether mediation makes sense under the circumstances. At the same time, pa ...

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 ...

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