Surprise Billing

Congressional efforts continue to search for a legislative compromise to address the "surprise" medical billing issue. Several attempts have been made to include legislation passed by the House Energy and Commerce Committee, House Education and Labor Committee and the Senate Health, Education, Labor and Pensions (HELP) Committee. However, ACR and other medical specialty organizations have successfully opposed these efforts as the Committees’ plan would include a federal benchmark rate for resolving disputes between providers and insurers and would prohibit out-of-network providers from issuing balance bills that exceed the in-network rate. Physicians are also seeking an arbitration process that would allow physicians to batch claims to reduce the administrative burden and improve the efficiency of the mediation process.