DYK: HHS and DOL is to Release in the Next Three Months the Independent Dispute Resolution (IDR) Process for No Surprise Billing Act (NSA)?

The Departments intend to issue regulations soon regarding IDR entities and the IDR process.

In limited cases, a provider or facility can provide notice to a person regarding potential out-of-network care, and obtain the individual’s consent for that out-of-network care and extra costs. However, this exception does not apply in certain situations when surprise bills are likely to happen, like for specified ancillary services connected to non-emergency care, such as anesthesiology or radiology services provided at an in-network healthcare facility.

The new appeal process for the NSA/IDR process will likely be complex . There will be a flood of challenges from HHS and CMS. Keep watch so your ARK does not sink.