HomeLatest NewsFederal NewsNo Surprises Act Final Rule Released

No Surprises Act Final Rule Released

​The departments of Health and Human Services, Labor and the Treasury issued the No Surprises Act final rule updating several key regulations. Updates include clarifying information certified independent dispute-resolution entities must consider when making a payment determination under the federal arbitration process.

Other updates from the final rules also:

  • Discuss situations in which payers have a down-coded claim.
  • Establish new requirements about what information payers must share with providers if a claim is down-coded.
  • Provide an FAQ and status report for the independent dispute-resolution process.

Recently, the Centers for Medicare & Medicaid Services launched a new webpage with resources and guidance related to the dispute resolution process under the No Surprises Act, including guidance for disputing parties and a walk through of the federal portal.  CMS also has added functionality to the portal for initiating disputes, including a button to upload supporting documents at initiation.

Stay Connected

Unified Voice Newsletter

Events This Month

May

30may11:00 am12:00 pmEmployee Accountability: How to Address Problem Behaviors and AttitudesSDAHO Webinar

30may11:00 am12:00 pmExploring an Evidence-based Toolkit and Tailoring Messages to Specific Audiences

30may11:30 am12:30 pmSerious Illness DiscussionMJHS Hospice and Palliative Care Webinar

30may12:00 pm1:00 pmOverview of Proposed IPPS Rule (FY) 2025AHA Webinar

31may9:00 am3:00 pmEmpowerED Leadership ConferenceSDAHEC Conference


By submitting this form, you are consenting to receive marketing emails from: . You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact