DecisionHealth, DecisionHealth - 2024 Issue 9 (September)

Appeals court supports TMA against No Surprises rule

A rule based on the No Surprises Act was again handed a legal defeat, this time by the Fifth Circuit Court of Appeals, on August 2. HHS, along with the U.S. Departments of Labor and the Treasury, had appealed last year’s decision in U.S. District Court for the Eastern District of Texas that suspended CMS’ independent dispute resolution process (IDR) by which “surprise billing” of out-of-network claims were adjudicated.

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