A comprehensive legal resource page with original commentary and key takeaways on critical topics impacting our clients industries.
(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.
Many Medicare Advantage Organizations (“MAOs”) are not contracted with providers. When an MAO enrollee presents to the provider for healthcare services, the provider verifies the enrollee’s coverage, obtains authorization where necessary, and renders the requisite services. The provider then submits a claim to the MAO for payment, and the MAO adjudicates payment. Nevertheless, in many