A comprehensive legal resource page with original commentary and key takeaways on critical topics impacting our clients industries.
On December 2, 2022, the Centers for Medicare & Medicaid Services (CMS) announced it would delay the requirement to include cost estimates from co-providers and co-facilities in a good faith estimate (“GFE”) for self-pay or uninsured individuals.
On August 3, 2022, the Centers for Medicare and Medicaid Services (“CMS”) released updated guidance regarding the Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals, which is effective immediately.[1] Here are the highlights of the appeal process for Medicare Part C (“Medicare Advantage”) Plans: Non-contracted providers have the same appeal rights for Part C
On Friday, the Departments issued final rules for the No Surprises Act’s (“NSA”) independent dispute resolution (“IDR Process”). These final rules go into effect 60 days after the date of publication in the Federal Register and apply to plan years beginning on or after January 1, 2022.