CHA News

Tri-Agencies Reopen Dispute Resolution Process for Some Claims and Issue Guidance on QPA Calculation

The departments of Health and Human Services, Labor, and Treasury (the Tri-Agencies) reopened the independent dispute resolution (IDR) process for new single payment disputes, including claims where services are bundled into one payment amount on Oct. 6, 2023. Accompanying guidance indicates that the IDR process for batched and air ambulance disputes remains suspended while the Tri-Agencies update their guidance and systems to reflect recent court orders that stem from recent rulings in the U.S. District Court for the Eastern District of Texas.