The Independent Dispute Resolution (IDR) ruling within the No Surprises Act oversees the mediation process between payers and out-of-network providers when they cannot agree...

The Centers for Medicare & Medicaid Services (CMS) recently released a Request for Information (RFI) for the Advanced Explanation of Benefits (AEOB)...

Traditionally, provider directories have been maintained by individual health plans. These directories include a list of providers in their network along with...

More than 45 percent of American adults say it’s difficult to afford health care, according to a survey by the Kaiser Family...

Connectivity to telemedicine is critical for organizations, especially in public healthcare. Private 5G networks are transforming how medical professionals can...

There are several factors to consider when selecting a cost containment solutions partner. This includes cross functionality, customer concentration, and...

Six months after balance billing prohibitions mandated by The No Surprises Act (NSA) took effect, the industry is acclimating to...

The No Surprises Act was implemented at the beginning of this year to ensure that patients do not have to suffer from...

The No Surprises Act, which went into effect on January 1, 2022, protects patients from surprise out-of-network medical billing and creates...

Since the No Surprises Act (NSA) was implemented at the beginning of 2022, it’s caused nearly as much confusion for payers, as...