OPM, IRS, EBSA, CMS: Federal Independent Dispute Resolution Operations

Notice of proposed rules from the Internal Revenue Service (IRS), Employee Benefits Security Administration (EBSA), and Department of Health and Human Services (HHS) related provisions of the No Surprises Act regarding the Federal independent dispute resolution (IDR) process. Among other things, these proposed rules would establish new requirements relating to the disclosure of information that group health plans and health insurance issuers offering group or individual health insurance coverage must include along with the initial payment or notice of denial of payment for certain items and services subject to the surprise billing protections in the No Surprises Act; proposes to amend certain requirements related to the open negotiation period preceding the Federal IDR process, the initiation of the Federal IDR process, the Federal IDR dispute eligibility review, and the payment and collection of administrative fees and certified IDR entity fees; and proposes to define bundled payment arrangements. Comments are due by January 2, 2024.
Source: Federal Register updates via the Rural Assistance Center - Category: Rural Health Source Type: news