?? Feds finally relaunch IDR under No Surprises Act following radiologist concern

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Marty Stempniak | October 06, 2023

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The federal government has relaunched the independent dispute resolution (IDR) process under the No Surprises Act, following calls from radiologists and other specialists. This action comes after a Texas court ruling that halted the process due to a significant increase in the fee physicians were required to pay for initiating mediation. The IDR process, which helps resolve disputes between payers and providers over out-of-network billing, had been largely inactive since August 3rd, resulting in a backlog of requests.?

The Centers for Medicare & Medicaid Services (CMS) has instructed IDR entities to resume processing all disputes in progress and has reopened the portal for new single and bundled disputes. However, processing of new batch disputes is temporarily suspended while CMS updates guidance to align with the Texas court ruling.? The agency advises disputing parties to continue negotiations according to existing timelines.

The Radiology Business Management Association (RBMA) welcomes the reopening of the IDR process but notes that much work remains to ensure a fair and effective system.? The RBMA continues to advocate for a process that benefits patients as intended by the No Surprises Act.? This action is seen as a positive step towards ensuring that the IDR process can function effectively in resolving disputes and protecting patients from surprise medical bills.?

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