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Our monthly series “No Surprises Act and Price Transparency” continues with our third installment, “Unweaving Dispute Resolution Processes” where we turn our attention to Independent Dispute Resolution (IDR) and Patient-Provider Dispute Resolution (PPDR).
Hard to believe, however, after more than a year and half since the NSA became law, we are still looking for a quick and fair resolution to disputes. The challenge is, providers are initially underpaid and then often wait up to six months for a resolution from a process that has increased in cost. Recent reports on the IDR process show outcomes have been favorable for providers, but are frequently too little, too late. Meanwhile, providers are also tasked with defending additional charges not included on Good Faith Estimates when a patient chooses to dispute charges that exceed the GFE by $400.
In this episode, we define the dispute processes, offer suggestions to avoid disputes, and demonstrate how to access disputes when needed.
CorroHealth’s “No Surprises Act and Price Transparency, a New Monthly Series” was created to provide attendees with clarity around No Surprises Act, to answer questions, and get you on the best path for success. The series also clarifies payers’ increased role in the process, the status of impactful legislation, and the processes providers should follow to comply.
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About Barbara Johnson, BSN, RN – Senior Revenue Cycle Consultant
Leading the series is CorroHealth’s resident subject matter expert, Barbara Johnson, BSN, RN – Senior Revenue Consultant. As a registered nurse Johnson worked in emergency medicine before transitioning into nursing administration. She entered the specialty of Revenue Integrity as a nurse auditor where she expanded her knowledge of coding and revenue cycle compliance through membership in AAPC and HFMA. Today, she is CorroHealth’s leading subject matter expert on NSA.
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