Departments Issue Final No Surprises Act Dispute Resolution Rule and Other Guidance

On August 19, 2022, the Departments of Health and Human Services, Labor, and the Treasury (the Departments) issued a long-awaited final rule (the Final Rule) on the Independent Dispute Resolution (IDR) Process under the No Surprises Act (NSA). The Final Rule modifies the weight given to the information that IDR entities must consider in deciding payor-provider payment disputes under the NSA. The Final Rule also imposes new requirements for plans and issuers to supply a disclosure when they downcode claims governed by the NSA. Separately, the Departments also issued lengthy Frequently Asked Questions (FAQs) and technical guidance for IDR entities last week.

Source: https://www.jdsupra.com/legalnews/departments-issue-final-no-surprises-1232852/