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December 18, 2023
IDR Portal Update

CMS reopened the Federal IDR portal to process previously initiated batched disputes, new batched disputes and single disputes involving air ambulance services. The portal was closed, and the processing of all disputes paused on August 3, 2023, because of multiple court rulings vacating a number of CMS rules that conflicted with the No Surprises Act […]

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June 5, 2023
Applicability of the No Surprises Act in the Anesthesia World

The No Surprises Act essentially went into effect on January 1, 2022, but portions of it have been delayed and litigated.  The Act itself can be broken down into two parts.  The first part is the Good Faith Estimates (GFEs), while the second part is the Independent Dispute Resolution (IDR) process.  In this article we […]

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May 26, 2023
Quarterly Compliance Newsletter 3-24-2023

Anti-Kickback StatuteThis federal criminal statute prohibits the exchange of anything of value to induce the referral of business reimbursable by federal health care programs. Examples of prohibited kickbacks include receiving financial incentives for referrals, free or very low rent for office space, or excessive compensation for medical directorships. In 2022, the Department of Justice’s (DOJ) […]

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Updates

HHS will not be enforcing co-provider estimates for GFEs on January 1, 2023.
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