CMS opened the independent dispute resolution process for healthcare providers to resolve out-of-network payment disputes April 15.
Three things to know about the independent dispute resolution process:
1. After a 30-business-day period of open negotiations where all parties attempt in good faith to reach an out-of-network payment agreement, providers can use CMS’ online portal to begin the federal independent dispute resolution process.
2. After the 30-business-day open negotiation period, initiating parties have four business days to begin a dispute using the portal.
3. After initiating the independent dispute resolution process, disputing parties can continue to negotiate until the independent dispute resolution entity makes a decision.
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