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  4. CMS Increases Federal IDR Arbitration Fee

The Centers for Medicare & Medicaid Services (CMS) recently announced that the nonrefundable administrative fee due from each party for participating in the federal independent dispute resolution (IDR) process under the No Surprises Act increased from $50 to $350. This change became effective January 1.

The change in the fee amount is an update to prior CMS guidance, which stated the administrative fee for the IDR process would remain $50 in 2023. The CMS explained that the change was needed due to “supplemental data analysis and increasing expenditures in carrying out the Federal IDR process.”

The CAP has been concerned with the significant backlog of disputes but opposes the fee change. Check out updates on our advocacy on surprise billing.

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