Federal IDR Process Updates
Physicians may have received a notification last week regarding suspension of the Federal IDR process. The information that was sent out was from the Department of Health & Human Services. MSSNY is working with CMS to ensure we get updates to provide to our members as this develops.
Effective August 7, 2023, the Departments have directed certified IDR entities to resume processing single and bundled disputes where the administrative fees have been collected (or the deadline for collecting fees expired) before August 3, 2023. Additionally, the Departments have directed certified IDR entities to resume processing batched disputes where the IDR entity determined that the batched dispute was eligible and collected administrative fees (or the deadline for collecting fees expired) before August 3, 2023. Processing of other disputes remains temporarily suspended.
This suspension is in large part due to the successful Texas Medical Association litigation regarding the significant barriers to bringing claims to the Federal IDR. For more information on these updates visit https://www.cms.gov/nosurprises.
