The Phia Group's Podcast

Episode 263: Empowering Plans: P224 – CMS Spotlight: Cleaning Up Provider Data and Fixing IDR Errors


Listen Later

In this episode, we take a closer look at two key developments out of CMS that could reshape how provider data and dispute resolution work in practice. First, we explore the agency’s proposed National Provider Directory — an ambitious effort to clean up fragmented provider data and reduce ghost networks. Then, we break down insights from the July 2025 CMS Technical Assistance Seminar, which tackled the growing problem of errors in the Federal Independent Dispute Resolution (IDR) process — from procedural missteps to jurisdictional mistakes and default determinations on ineligible claims. What’s CMS doing to fix the system — and what gaps are still leaving plans vulnerable?

...more
View all episodesView all episodes
Download on the App Store

The Phia Group's PodcastBy The Phia Group

  • 4.9
  • 4.9
  • 4.9
  • 4.9
  • 4.9

4.9

17 ratings


More shows like The Phia Group's Podcast

View all
Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,062 Listeners

Planet Money by NPR

Planet Money

30,700 Listeners

The Bill Simmons Podcast by The Ringer

The Bill Simmons Podcast

30,187 Listeners

Relentless Health Value by Stacey Richter

Relentless Health Value

233 Listeners

The ShiftShapers Podcast by David Saltzman

The ShiftShapers Podcast

20 Listeners

The Daily by The New York Times

The Daily

112,351 Listeners

An Arm and a Leg by An Arm and a Leg

An Arm and a Leg

1,083 Listeners

Heads Up Adviser by John Sbrocco, Craig Lack

Heads Up Adviser

29 Listeners

Shawn Ryan Show by Shawn Ryan

Shawn Ryan Show

44,001 Listeners

Self-Funded With Spencer by Spencer Smith

Self-Funded With Spencer

35 Listeners

The Retrievals by Serial Productions & The New York Times

The Retrievals

10,265 Listeners

Broken Benefits by Lee Lewis

Broken Benefits

15 Listeners

Voices of Self Funding by hcaainfo

Voices of Self Funding

0 Listeners

Casuals with Katie Nolan by SiriusXM

Casuals with Katie Nolan

801 Listeners