Administration Takes First Step To Stop Surprise Billing, Leaves IDR For Future Rule

By Amy Lotven / July 2, 2021 at 8:06 AM

The Biden administration’s highly anticipated first surprise billing rule provides the definition and methodologies for calculating the qualifying payment amount (QPA), or in-network rate, that must be used for determining payment and cost-sharing, but leaves for future rulemaking the hot-button issue of what factors arbitrators can consider in independent dispute resolutions.


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