The Centers for Medicare & Medicaid Services (CMS) announce it is putting all surprise billing disputes regarding payment determinations on hold. CMS will now evaluate and update and its independent dispute resolution guidance, systems, and documents to comply with the Texas court's decision last week to vacate portions of the final rule. CMS directed all Independent Dispute Entities (IDRE) to recall all determinations made after February 6. CMS said that IDRE can continue working through other part process while they wait for further guidance from the government.
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H.H.C. Group is also a leading national health insurance consulting company providing a wide range of cost containment solutions for Insurers, Third Party Administrators, Self-Insured Employee Health Plans, Health Maintenance Organizations (HMOs), ERISA and Government Health Plans. H.H.C. Group utilizes a combination of highly skilled professionals and advanced information technology tools to consistently deliver targeted solutions, significant savings, and exceptional client service. H.H.C. Group's services include Claim Negotiation, Claim Repricing, Surprise Bill Claim Resolution, Medicare Reference Based Pricing, DRG Validation, Medical Bill Review (Audit), Claims Editing, Medical Peer Reviews/Independent Reviews, Independent Medical Examinations (IME), Case Management, Utilization Review, Data Mining, Disease Management and Pharmacy Consulting.