Congressional Opposition to WISeR Model Demands Performance Data From CMS
A congressional coalition sent a letter on June 22 to Centers for Medicare and Medicaid Services (CMS) Administrator Mehmet Oz, M.D., expressing...
On Dec. 27, the Centers for Medicare & Medicaid Services (CMS) published updated independent dispute resolution (IDR) entity fees for 2025 on the No Surprises Act webpage.
The IDR entity fee ranges are unchanged from 2024, from $200 to $840 for a single determination and $268 to $1,173 for a batched determination, plus a $115 administrative fee per party per dispute. While some specific entities’ fees remain unchanged from 2024, others have seen increases or decreases for 2025.
A complete list of certified dispute resolution entities can be found on the CMS website.
Source:
https://www.ama-assn.org/health-care-advocacy/advocacy-update/jan-10-2025-national-advocacy-update
https://www.cms.gov/nosurprises/help-resolve-payment-disputes/certified-idre-list
Final Month of PAMA Reporting: Is Your Lab Ready?
July marks the final month of the 2026 PAMA reporting period. Laboratories that meet the definition of an applicable laboratory, which most do, have...
Humana Claims Payment Policies
Effective July 1, 2026, Humana will charge a $5.00 administrative fee for Medicare Advantage paper claim submissions.