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Surprised Providers Seek Changes to Latest Provisions of the No Surprises Act
Akerman Link to more items from this source
Jan. 31, 2022

"[The Independent Dispute Resolution (IDR)] entity is required to begin with the presumption that the qualifying payment amount (QPA) is the appropriate amount. In general, the QPA is the Plan's median contracted rate for the same or similar service in the specific geographic area. This presumption is the basis of the controversy as the Out-Of-Network Providers deem a Plan's median contracted rate to be an inappropriate starting point."

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