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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
(As featured in Daily Business Review – August 2022) Don’t you knowTalking about a revolution?It sounds like a whisper.[1] Tracy Chapman’s lyrics embody the diversity revolution currently underway in the international arbitration community. In 2015, the idea of the Equal Representation in Arbitration Pledge (the “Pledge”) started at a dinner party in London where guests
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.