Stakeholders File Lawsuit Over Fair Payment Dispute Resolution for Surprise Medical Bills A lawsuit filed on December 8, 2021, by a coalition of stakeholders representing hospitals, health systems, and physicians sued the federal government today over the misguided implementation of the federal surprise billing law. The lawsuit challenges a narrow but critical provision of a...
Federal Legislation Averts Severe Physician Reimbursement Reductions in the Medicare Physician Fee Schedule for 2022 Looming Medicare spending cuts that would have resulted in a combined 9.75% payment cut for physician practices on January 1, 2022, have been averted as a result of the passage of the Protecting Medicare & American Farmers from Sequester Cuts...
CMS Releases Updated 2022 Medicare Physician Fee Schedule On December 21, 2021, CMS published an update for the 2022 calendar year (CY) Medicare Physician Fee Schedule (PFS) conversion factor and payment rates that reflects the passage of the Protecting Medicare & American Farmers from Sequester Cuts Act, which avoided a 4% statutory cut from the...
ISASS Seeks Fair Payment Dispute Resolution for Surprise Medical Billing Disputes On November 18, 2021, ISASS and several medical societies signed a letter urging the U.S. Department of Health and Human Services to revise requirements set forth in the most recent Interim Final Rule implementing the No Surprises Act. The act directs Independent Dispute Resolution (IDR) entities...