Medicare Payment Increase in Final Budget Reconciliation Bill
The bill includes a 2.5% increase to the Medicare Physician Fee Schedule for calendar year 2026.
Read moreMain Content
Feds Announce New Process for Resubmitting Independent Dispute Resolution Claims
April 23, 2024
In a recent e-mail to stakeholders, the Departments of Health and Human Services, Labor, and the Treasury announced a new process for parties to resubmit improperly submitted claims in the No Surprises Act independent dispute resolution (IDR) program. Under the new automated process, the federal IDR portal will send disputing parties a unique webform to resubmit disputes instead of parties receiving a request from the certified IDR entity. The email notifications will come from auto-reply-federalidrquestions@cms.hhs.gov.
The departments did not specify an effective date for the new process, but indicated that when implemented, it will streamline federal IDR operations. Initiating parties will have a unique web form they can access via a link in their resubmission email notification to complete the resubmission process.
Once this change is implemented, initiating parties will continue to have four business days from the date of the resubmission email notification to initiate the resubmitted dispute. The departments will provide educational materials explaining how to complete the web form closer to the launch date of the new process.
If you have questions or would like more information, contact Katie Keysor, American College of Radiology® Senior Director, Economics and Health Policy.
The departments did not specify an effective date for the new process, but indicated that when implemented, it will streamline federal IDR operations. Initiating parties will have a unique web form they can access via a link in their resubmission email notification to complete the resubmission process.
Once this change is implemented, initiating parties will continue to have four business days from the date of the resubmission email notification to initiate the resubmitted dispute. The departments will provide educational materials explaining how to complete the web form closer to the launch date of the new process.
If you have questions or would like more information, contact Katie Keysor, American College of Radiology® Senior Director, Economics and Health Policy.
Related ACR News
CMS Announces Prior Authorization Test Model
WiSer is a six-year program that will begin in six states on January 1, 2026. It will introduce prior authorization using AI technology for a select number of services, including some IR procedures.
Read moreSupreme Court Upholds Preventive Services Coverage
ACR commends the Supreme Court’s ruling affirming the constitutionality of the structure and appointment process of the U.S. Preventive Services Task Force.
Read more