Lawmaker Proposes IBR for Contract Disputes

Billing disputes involving alleged contractual discounts or reductions from California's fee schedule rates would be eligible for administrative review under amendments to a bill introduced in February to promote transparency. What's more, administrative reviewers would be required to include a copy of the contract when finding that a provider is owed less than the fee schedule rate under amendments Assemblymember Philip Chen, D-Brea, made to AB 1048 on Monday. "If the payer cannot produce a valid contract justifying the discount or reduction, the independent bill review or...