Billing Beat

CMS reinstates $50 fee to administer new No Surprises Act payment disputes

September 11, 2023

The Centers for Medicare & Medicaid Services today released a FAQ explaining how it will handle the administrative fee for out-of-network providers and group health plans that initiate payment disputes under the No Surprises Act’s independent dispute resolution process on or after Aug. 3, when a federal judge vacated nationwide a six-fold increase in the fee.

According to the FAQ, the fee for disputes initiated on or after Aug. 3 or unpaid before Aug. 3 will return to $50 per party until the departments of Health and Human Services, Labor and the Treasury set a new fee amount.

Source: https://www.aha.org/news/headline/2023-08-11-cms-reinstates-50-fee-administer-new-no-surprises-act-payment-disputes

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