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Federal Texas Court Orders Government Agencies to Vacate NSA Fee Increase and Batching Rule

August 4, 2023 By Cohen Howard

As previously reported, the Texas Medical Association (TMA) filed a series of lawsuits over the rules implemented by the Departments under the No Surprises Act. On August 3, 2023, Judge Kernodle, US District Court of Eastern Texas, ruled in favor of … [Read more...] about Federal Texas Court Orders Government Agencies to Vacate NSA Fee Increase and Batching Rule

Filed Under: Surprise Bill, Uncategorized

Federal Government Appeals No Surprises Act (NSA) TMA II Decision Concerning the QPA

July 21, 2023 By Cohen Howard

In a recent development surrounding the implementation of the No Surprises Act (NSA), the United States Department of Justice (DOJ) has filed an appellate brief to appeal the Texas Medical Association (TMA) II decision. This decision vacated certain … [Read more...] about Federal Government Appeals No Surprises Act (NSA) TMA II Decision Concerning the QPA

Filed Under: News, Surprise Bill

NJ DOBI Issued Bulletin No. 23-05, June 28, 2023, Non-Discriminatory Coverage for Transgender Individuals

June 30, 2023 By Cohen Howard

In an effort to promote equal access to healthcare and coverage, the New Jersey Department of Banking and Insurance has published Bulletin No. 23-05 following Governor Murphy’s issuance of Executive Order 326, “Protecting Gender-Affirming Health Care … [Read more...] about NJ DOBI Issued Bulletin No. 23-05, June 28, 2023, Non-Discriminatory Coverage for Transgender Individuals

Filed Under: News

Court Decision in TMA Lawsuit Good News for Providers

February 7, 2023 By Cohen Howard

This week, a Texas US Federal District Court granted a summary judgement in favor of the Texas Medical Association (TMA) setting aside and vacating the latest qualifying payment amount (QPA) Rule as violating the No Surprises Act (NSA).  The Court … [Read more...] about Court Decision in TMA Lawsuit Good News for Providers

Filed Under: Surprise Bill

Federal Agencies Levy Substantial Increase in Administrative Filing Fees for NSA IDR in 2023

December 29, 2022 By Cohen Howard

Late Friday afternoon on December 23, 2022 and well after most had begun celebrating their holiday, CMS quietly announced that it was increasing the non-refundable administrative fee for all IDR filings initiated under the No Surprises Act from $50 … [Read more...] about Federal Agencies Levy Substantial Increase in Administrative Filing Fees for NSA IDR in 2023

Filed Under: Surprise Bill

Texas Medical Association Files 3rd Lawsuit Challenging NSA Rule

December 22, 2022 By Cohen Howard

On Wednesday, November 30, 2022 the Texas Medical Association (TMA) filed its third lawsuit against the Departments of Health and Human Services, Labor and the Treasury (the “Departments”) claiming that the final revised rule under the No Surprises … [Read more...] about Texas Medical Association Files 3rd Lawsuit Challenging NSA Rule

Filed Under: Surprise Bill

No Surprises Act Final Rule Issued…Good News for Providers

August 23, 2022 By Cohen Howard

On Friday, August 19, 2022, the U.S. Department of Labor and related Federal regulatory agencies issued final No Surprises Act rules “only for certain issues critical to the implementation and effective operation of the Federal IDR process”. These … [Read more...] about No Surprises Act Final Rule Issued…Good News for Providers

Filed Under: Surprise Bill

No Surprises Act Remittance Advice Codes

July 6, 2022 By Cohen Howard

Claims subject to the No Surprises Act (NSA) regulations have, over the last few months, begun to move through the revenue cycle process with new coding and regulatory compliance applicable for these claims. In preparation, on March 2, 2022, CMS … [Read more...] about No Surprises Act Remittance Advice Codes

Filed Under: Surprise Bill

Federal Departments File Notice to Appeal TMA Decision

April 27, 2022 By Cohen Howard

Last Friday, the Defendants in the lawsuit filed by the Texas Medical Association (TMA) against the U.S. Department of Health and Human Services (HHS) and other Federal Departments, entered a notice that the federal departments collectively intend to … [Read more...] about Federal Departments File Notice to Appeal TMA Decision

Filed Under: Surprise Bill

California Law Confirmed by DMHC as Specified State Law Under NSA

April 12, 2022 By Cohen Howard

The California Department of Managed Healthcare (DMHC) on March 21, 2022 issued an All Plan Letter with guidance to All Full-Service Commercial Health Care Service Plans clarifying the enforcement rules that apply between relevant, specified state … [Read more...] about California Law Confirmed by DMHC as Specified State Law Under NSA

Filed Under: Surprise Bill

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