In theory, that process ends with a binding payment determination. In practice, providers who prevail in the process are ...

Several trends in medical billing have emerged in the wake of the No Surprises Act, which was first implemented in 2022, a recently released report by HHS found. In its third report on analyzing the ...

Nutex Health's receivables could rapidly convert to cash if the bill passes, eliminating a key valuation overhang. Find out ...

The No Surprises Act, which was signed into law in 2020, and went into effect on January 1, 2022, aimed to take patients out of billing conflicts between providers and payers. By all accounts this ...

Insurer-backed Arizona bill caps No Surprises arbitration offers at 300% Medicare rates and threatens provider licenses for excessive fees.

An appeals court is set to rehear a case from providers trying to restrict what factors insurers consider in calculating a key metric that arbiters use to determine fair payment amounts in disputes ...

When we visit a doctor or hospital, we look to see whether they’re “in-network” or “out-of-network.” Why? We do it because we ...

The No Surprises Act went into effect in 2022, forcing major changes to workflows throughout revenue cycle operations. Three years later, what have health systems learned and how are they faring? The ...

Although the price transparency elements of the No Surprises Act do shake up the payer-provider dynamic, the true controversy surrounding the act involves out-of-network rate mediation, Larry Levitt, ...