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2026-06-04 - Federal Rule Takes Aim at Health Care Bureaucracy, Reducing Dispute Fees & Boosting Transparency
Act
by Jul 1, 2026
Effective date
Jul 1, 2026
Identified
Jun 5, 2026
Summary
CMS finalized major reforms to the No Surprises Act's Federal Independent Dispute Resolution process to make out-of-network payment disputes more efficient and reduce administrative costs. Additionally, Medicare GLP-1 Bridge educational materials were released for the July 1, 2026 program start, and several other updates affecting various specialties.
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What to do
by Jul 1, 2026 · 4 steps
01Review and implement No Surprises Act dispute resolution process improvements in billing workflows.
02Download and review Medicare GLP-1 Bridge educational materials including Prescriber and Pharmacy Fact Sheets.
03Rural health clinics and FQHCs must stop billing HCPCS G2025 and instead bill individual CPT/HCPCS codes for distant site telehealth services effective October 1, 2026.
04Update billing systems accordingly.
Codes mentioned
G2025G0533
Original notice
2026-06-04 - Federal Rule Takes Aim at Health Care Bureaucracy, Reducing Dispute Fees & Boosting Transparency
cms.gov · Always check the source before changing claims.
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