If an agreement can’t be reached, both parties submit a preferred amount to a third-party arbitrator, which then chooses one—a process referred to as Independent Dispute Resolution (IDR). CMS ...

Organizations will soon be seeing their IDR payment determinations. CMS just announced that certified independent dispute resolution (IDR) entities must resume making payment determinations for ...

The Centers for Medicare & Medicaid Services had established initial fees, but the guidance was vacated by a Texas judge in a win for providers, forcing the agency to pause IDR. The independent ...

CMS said in a Feb. 10 letter that the departments are evaluating and updating the IDR process guidance, systems and related documents to make them consistent with the court’s decision.

CMS on Sept. 21 directed certified independent dispute resolution entities to resume processing all single and bundled No Surprises Act disputes submitted on or before Aug. 3. CMS temporarily ...