CMS plans to transition to an independent dispute resolution “gateway” during the second half of 2026, according to a March ...

The Centers for Medicare & Medicaid Services March 16 announced it will transition later this year to a new centralized ...

In a final rule on fees for disputed claims, Health and Human Services and other departments are finalizing an amount of $115 per party for disputes initiated on or after the effective date of this ...

On August 3, 2023, the U.S. Department of Health & Human Services (“HHS”), the Department of Labor, and the Department of Treasury (collectively, the “Departments”) temporarily suspended the federal ...

The Biden administration has proposed a new rule refining several aspects of the healthcare services billing process in response to criticisms levied from all sides of the industry. Unveiled Friday ...

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 ...

The Centers for Medicare and Medicaid Services is extending independent dispute filing deadlines through at least mid-October after the Change Healthcare cyberattack threw the process into disarray.

Under the No Surprises Act, consumers are protected from financial liability beyond normal in-network cost sharing when they receive emergency services by an out-of-network facility or provider, ...

Alternative dispute resolution, a process by which a neutral third party helps parties reach an agreement without litigation, is more successful during the pre-complaint stage compared with the formal ...

Purdue University encourages its employees to bring their complaints to the attention of their Supervisors. Employees and their Supervisors are expected to make every effort to resolve differences ...