The number of balance billing disputes reaching arbitration is far higher than federal projections suggested, according to new data from the Biden administration. The Centers for Medicare & Medicaid Services (CMS) issued a report looking at the number of surprising billing negotiations that reached the independent dispute resolution (IDR) phase of the No Surprises Act protocols in the first six months of 2023. The agency said 136,111 cases reached IDR in the first quarter and 152,699 reached IDR in the second quarter. That’s a total of 288,810 cases that made it to dispute resolution, according to the report. The agency said this is 13 times higher than its projections for the full calendar year.
Read the full article: Surprise Billing Disputes Continue to Far Outpace Federal Estimates: CMS //
Source: https://www.fiercehealthcare.com/regulatory/surprise-billing-disputes-continue-far-outpace-federal-estimates-cms