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Medical Associations to CMS: Where is Our Money?

Analysis  |  By Amanda Norris  
   March 13, 2023

Major medical associations demand CMS resume all disputed No Surprises Act payment determinations.

The American College of Emergency Physicians, the American College of Radiology, and the American Society of Anesthesiologists are urging CMS to quickly resume all independent dispute resolution (IDR) payment determinations paused by its February order.

While CMS provided some relief at the end of February when it instructed certified IDR entities to resume making determinations for payment disputes involving services provided before October 25, the associations are calling on the agency to resume swift determinations for disputes after that date too.

As background, CMS temporarily halted the IDR process payment determinations following last year’s district court ruling before they were again reinstated. The medical associations assert that the government’s pause exacerbates the existing backlog of IDR determinations, causing harm to healthcare providers who provided those services.

Amanda Norris is the Associate Content Manager of Finance, Payer, Revenue Cycle, and Strategy for HealthLeaders.

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