Arbitration Support Resources

While all underpaid claims are inconvenient, some matter more than others. Your team has limited time, limited staff, and strict filing deadlines, so you need a way to focus on the right cases. A clear triage process helps you put your effort into claims that have...

When you see the Qualified Payment Amount (QPA) on an explanation of benefits, it can look like the final word. The number seems official and tied to federal rules, so it's easy to treat it as the maximum you can expect. But that's often where revenue starts to slip...

Bundling similar NSA claims can save time and reduce administrative work, but it also creates risk if you do it without a clear plan. If claims are grouped the wrong way, you can weaken your arbitration position and lower your recovery potential across the entire...

The Enforcement Act. The No Surprises Act (NSA) arbitration process, known as the Federal IDR has a glaring deficiency.  The enforcement of arbitration awards is placed in the hands of CMS, with the Federal Arbitration Act (FAA) not being available to turn an...