The No Surprises Act that goes into effect January 1, 2022, will apply to most commercially insurance patients and almost all out-of-network services where surprises bills are a common occurrence. The law is forcing payers and providers to identify new ways to settle their shared financial disagreements.
The independent dispute resolution (IDR) provisions of the Act apply to payment disputes between a payor and a noncontracting provider of Emergency Services. If a party is unsatisfied with the amount the other is offering, either party may initiate the IDR process which allows a noncontracting provider or payor to dispute whether the specified rate was appropriate. This is an extensive process that needs to follow the correct cadence to reach a successful resolution.
In this webinar, our panel will cover:
Amber Thomas JD, Vice President of Advisory & Assurance, R1
Kathryn Beard, Manager, Advisory & Assurance – Regulatory
Melissa Davis, Client Services Manager
Jackie Willett, Vice President, PEMS
Lucy Zipple, Senior Director, Client Services