Manatt Litigation Partner Harvey Rochman was quoted in a STAT article about a backlog of cases involving providers seeking to resolve billing disputes under the No Surprises Act.
Exacerbating the backlog is an August ruling from Texas that changed the law’s instructions for determining out-of-network payment amounts. A judge sided with the Texas Medical Association in challenging a presumption that arbiters rely on the median in-network contracted service rate.
Rochman told STAT this could have contributed to the backlog by adding a much more detailed level of examination of evidence and documentation to presume payment amounts instead of using median in-network rates, which would have more quickly resolved disputes.
Read the full STAT article here.