With the passing of the No Surprise Bill Act, medical billing and reimbursement changed significantly. We at No Surprise Bill offer decades of experience leveraging various tools to help practices keep more of their revenue. We have the experience, expertise, and solutions to help practices using healthcare provider insource RCM streamline their operations and avoid unnecessary delays that could harm the practice. Our specialization in revenue cycle management IDR services allows us to help practices leverage the system without creating extra administrative burdens. For an independent practice, that means more staff availability to work with patients and fewer issues with OON medical claims processing.

Healthcare Reimbursement Services Through IDR

Independent dispute resolution service is a key process in the No Surprise Billing Act. This process means that practices can bring in a third party to decide the amount of money owed by a payor as part of out of network claims processing. The third party is impartial as part of the state or federal NSA IDR process & IDR collection and IDR fees. The judgment is also binding. We help present a practice’s case, from initial filing to ongoing negotiation, to help our clients get the money they’re owed for their medical services. The federal and state NSA IDR process is a tool that can provide exceptional results for practices when leveraged correctly. However, learning to do so is often unpaid and potentially costly for practices that do it on their own. We take the learning curve out of it, and many practices improve their RCM while working with our experienced team to help keep more revenue in-house.

Payor Negotiation Services

In addition to our expertise in handling the IDR process, we also offer various payor-related services. Our team has a unique relationship with payors, and we help practices negotiate more productive arrangements regularly using our unique contact network. Using our services and unique understanding of payer strategy can help create a more sustainable practice. When combined with our streamlined technological solutions, practices can become more efficient while keeping more of their revenue. Since efficient practices are critical for the modern healthcare field, having an advantage when handling payors is often immensely beneficial in the long-term.

Balance Billing Prevention Solution

After the passage of the No Surprises Act and the release of the IDR portal, patients expect to receive different treatment when practices bill. Generally, surprise bills are no longer feasible, and balance billing patient support is more normalized. That’s where we come in. Our specialization in IDR means we focus on payors, not patients, when we address issues in a practice’s RCM. This focus ensures that practices comply with laws and regulations while still securing their revenue. As a whole, the IDR process can be a valuable tool for practices while addressing what patients dislike about balance billing, thus providing practices with an opportunity for better patient care. In today’s world of choices, a better patient experience is invaluable for practices that want to maintain their business.