This week, federal regulators issued an interim final rule that would take action against states that have not complied with the federal Medicaid eligibility rules or reporting requirements during the redetermination period.
The rule says that the Centers for Medicare and Medicaid Services (CMS) will require noncompliant states to...CMS Rules
The No Surprises Act has been a hot-button point of contention among insurers and providers as physician groups feel threatened by the leverage that insurers are given through the Act's enforcement. The Medical Group Management Association (MGMA) sent a letter to the U.S. Department of Health and Human Services (HHS) and the Centers for...National News
On Thursday, an interim final rule was passed laying out the new independent dispute resolution (IDR) process for the surprise billing law. The No Surprises Act, passed in December 2020, bans surprise billing for out-of-network emergency and non-emergency services, limits cost-sharing to in-network rates, and creates the new IDR process....