Friday, February 3, 2023

Top Medical Associations Oppose 600 Percent Independent Dispute Resolution Fee Increase, Call on Congress for Oversight

WASHINGTON - January 13, 2023 - (

The Radiology Business Management Association (RBMA), Emergency Department Practice Management Association (EDPMA), Healthcare Business Management Association (HBMA) and Medical Group Management Association (MGMA) all strongly oppose the U.S. Centers for Medicaid and Medicare Services (CMS) 600% administrative fee increase to utilize the Independent Dispute Resolution (IDR) process provided by the No Surprises Act (NSA). The Associations represent radiology and emergency healthcare clinicians across the country, and they call on CMS to immediately reverse this decision and on Congress to initiate oversight proceedings on this executive action.

"RBMA fully supports Congress' intention of the NSA to protect patients from unexpected medical bills, and our physicians are committed to providing affordable, quality care to their patients across the country," said Bob Still, Executive Director of the Radiology Business Management Association (RBMA). "As such, this 600% fee increase under the NSA puts physicians in the middle of health plans and CMS' inadequate implementation process of those plans. By pricing out the method for dispute resolution with this excessive fee, our providers' ability to perform important services, like cancer screenings, will be significantly hindered and inevitably hurt the healthcare of American consumers."

"While EDPMA understands CMS' need to address the IDR backlog, exorbitant fees are simply not the answer. These abrupt, inappropriate increases unnecessarily burden emergency medicine clinicians and significantly deter clinician's access to the method of dispute resolution provided by Congress. This is another substantial mis-step that fails to address fundamental operational and policy-related issues involved in the No Surprises Act," said Don Powell, DO, FACEP, EDPMA Chair. "CMS's actions prevent the level playing field provided in the law, and contrary to the law's interests, will drive more payer-driven contact terminations, while crippling the cash flow that supports emergency care for patients."

"Increasing the administrative fees for the IDR process by 600% is not the appropriate way to address the backlog of IDR disputes," said Landon Tooke, CHC, CPCO, President of HBMA's Board of Directors. "The new fee - which is not reimbursed to the initiating party - is higher than many of the disputed payment amounts. This unfairly disincentivizes clinicians from utilizing the IDR process and does not align with how Congress intended this process to be used. The higher fee does not address the root cause of the backlog, which is health plans forcing many practices out of their networks which puts a greater burden on the IDR process. While we understand the need to address the high volume of initiated disputes, health plans share the responsibility to reduce the backlog by properly communicating if the NSA protections apply to a specific scenario and by negotiating in good faith during the open negotiation window."

"MGMA supports the goals underpinning the No Surprises Act — we believe patients should have accurate and timely access to the costs of items and services. However, the law must be implemented in a manner that does not create undue burden on our nation's medical groups, nor impede practices' ability to deliver care," said Anders Gilberg, Senior Vice President of Government Affairs for MGMA. "Increasing the administrative fee for the IDR process will disproportionally effect providers who are already suffering from significant financial strain stemming from staffing shortages, wage inflation, and drastic cost increases across the board. We encourage CMS to swiftly reevaluate the administrative fee, to make it equitable so as to not prohibit medical groups' ability to initiate the IDR process to settle payment disputes with health plans as granted by the law."

The Associations call on CMS to fairly rebalance the IDR process, keep administrative fees at fair and stable 2022 levels, and address their unsustainable backlog of claims under NSA. To ensure this appropriate and much needed reform at CMS, the Associations call on the new Congress to initiate oversight proceedings on these processes at CMS.

After first announcing in October 2022 that the 2023 administrative fee would remain stable, in a last-minute move in late December 2022, CMS announced a 600% increase in non-refundable administrative fees for any party to file out-of-network claims disputes through the NSA's IDR process. Additionally, CMS had previously announced fee increases of up to 117% for IDR entities. The dramatic, unprecedented increase in initial fees with less than a week's notice disproportionately affects providers, favors health plans, and will hurt consumers.


About RBMA:

The Radiology Business Management Association (RBMA) is an industry-leading organization comprised of more than 2,100 professionals who focus on the business of radiology. RBMA members support diagnostic imaging, interventional radiology and radiation oncology providers in the full spectrum of practice settings. RBMA connects members nationwide to valuable information, education, and practice-related resources and serves as an authoritative industry voice on behalf of shared member interests.

About EDPMA:

The Emergency Department Practice Management Association (EDPMA) is the nation's largest professional physician trade association focused on the delivery of high-quality, cost-effective care in the emergency department. EDPMA's membership includes emergency medicine physician groups of all sizes, as well as billing, coding, and other professional support organizations that assist healthcare providers in our nation's emergency departments. Together, EDPMA's members deliver (or directly support) health care for about half of the 146 million patients that visit U.S. emergency departments each year. Visit

About HBMA:

The Healthcare Business Management Association (HBMA), a non-profit professional trade association, is a major voice in the revenue cycle management industry in the United States. HBMA is a recognized revenue cycle management (RCM) authority by both the commercial insurance industry and the governmental agencies that regulate or otherwise affect the U.S. healthcare system. To learn more, visit

About MGMA:

Founded in 1926, the Medical Group Management Association (MGMA) is the nation's largest association focused on the business of medical practice management. MGMA consists of 15,000 group medical practices ranging from small private medical practices to large national health systems representing more than 350,000 physicians. MGMA helps nearly 60,000 medical practice leaders and the healthcare community solve the business challenges of running practices so that they can focus on providing outstanding patient care. Specifically, MGMA helps its members innovate and improve profitability and financial sustainability, and it provides the gold standard on industry benchmarks such as physician compensation. The association also advocates extensively on its members' behalf on national regulatory and policy issues. To learn more, go to or follow us on LinkedIn, Twitter and Facebook.

RBMA Media Contact:

Will Sweet
[email protected]

EDPMA Contact:

Cathey Wise
703.506.3282 (direct) l 817.905.3310 (cell)
[email protected] 

HBMA Contact: 

Brad Lund
(877) 640-4262
[email protected]

MGMA Contact:

Emily Dowsett
(703) 376-1134
[email protected]

Contact Information:
Will Sweet
[email protected]

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Original Source: Top Medical Associations Oppose 600 Percent Independent Dispute Resolution Fee Increase, Call on Congress for Oversight
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Sirius College Launches World’s First Mentor Bot, a 24/7 Coach for Growing a Career in AI and Data Science

The world's first career bot for people who want to learn AI and data science has been launched by Sirius College, the only neouniversity focused on those fields.

Luna, the bot, is designed to help professionals grow in their careers. It serves as a 24/7 mentor that can help people study, write their resume, answer questions and more.

The bot is built with Sirius's proprietary content, in addition to state-of-the-art large language models like OpenAI's GPT, same as the one used by ChatGPT, that recently took the world by storm. Aided by content and lessons produced by Sirius' team of world-class professors, Luna is becoming increasingly fine-tuned on interactions with students.

"The current developments in AI are bringing a quiet tsunami that will change how people work and learn, and the magnitude of the shift might be similar to the impact the internet itself had on society", said Gary A. Bolles, author of the book The Next Rules of Work, Chair for Future of Work at Singularity University, and global advisor at Sirius College. "Luna offers a first step for the data-minded professionals looking for ongoing advice about what and how to learn".

The career bot speaks multiple languages (having been tested in English, Portuguese and Spanish), and is accessible to all Sirius students and a limited number of outsiders - for free in beta mode.

To be part of the bot's development and become a beta user, it's possible to ask for an invitation here.

Based in Belo Horizonte, Brazil, with a hub in Silicon Valley, Sirius College is uniquely positioned to provide global access to the latest AI and data science trends and technologies.

"Luna provides personalized career guidance and helps professionals navigate the rapidly changing landscape of AI and data science", said Arnobio Morelix, CEO and co-founder of Sirius College. "It's a game changer".

Sirius College

Sirius College is the first neouniversity in Brazil, with hubs in Silicon Valley (California, USA) and Belo Horizonte (Minas Gerais, Brazil). The edtech received the highest score from the Ministry of Education (MEC) in 2022, which only 2.2% of colleges in Brazil receive, in addition to being named one of the 15 most promising startups in Latin America by Forbes Magazine, and ranked as one of the top 100 edtechs on the continent by the Holon IQ Global Summit in Mexico.

Sirius' methodology prioritizes the journey of learning applied to work, with classes taught by professionals with experience in places like Google, Nubank, iFood, Meta, and much more. With a mark of 97% of employability, Sirius' graduates now work for companies like Google, Uber, ABInbev, Deloitte, and several startups.

Currently, Sirius is offering the first postgraduate degree that connects Data Science with Decision Science, called Master in Data & Decision Science, which combines statistics, machine learning, decision theory, operational research and cognitive psychology.

Contact Information:
Larissa Velasco
Press Officer
[email protected]
+351 930 458 025

Wesley Souza
Press Officer
[email protected]
+55 (11) 95906-4869

Original Source: Sirius College Launches World's First Mentor Bot, a 24/7 Coach for Growing a Career in AI and Data Science
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