Pain Management Out-of-network Underpayments: Procedures, Ascs and the No Surprises Act
An in-network ASC can still involve out-of-network pain physicians or anesthesia groups. Since January 1, 2022, eligible No Surprises Act claims have […]
In-house vs Outsourced Out-of-network Underpayment Recovery Which Is Right for Your Practice
Most independent specialty practices with fewer than 200 out-of-network claims per week recover more net revenue by outsourcing, because the fully loaded […]
Medical Billing Services in New York for Out-of-Network Specialty Practices
Most New York specialty out-of-network claims performed at in-network facilities now belong in a state or federal dispute workflow rather than a […]
Good Faith Estimate for Self Pay Patients: Guide 2026
A good faith estimate for self-pay patients is a written, itemized projection of expected charges, not a courtesy quote from the front […]
Good Faith Estimate Requirements and Template for Medical Practices
Federal Good Faith Estimate rules apply to uninsured and self-pay patients scheduled on or after January 1, 2022, and the estimate has […]
Best Platforms for Out-of-Network Billing Compliance in 2026
For most specialty practices, the strongest out-of-network billing compliance stack pairs a benchmark data source like FAIR Health with a purpose-built NSA […]
Does the No Surprises Act Apply to Physician Offices
The No Surprises Act generally does not apply to routine services delivered in a private physician office. It does apply in three […]
Out of Network Billing: A 2026 Practice Guide
Out of network billing is not a rare edge case, it's a structural revenue problem. In a large U.S. commercial-claims study, 42.8% […]
IDR Process No Surprises Act: Win Disputes & Protect Revenue
If you're dealing with out-of-network payments under the No Surprises Act, the IDR process isn't just a compliance task. It's a revenue […]
Surprise Billing: 2026 Guide for Practice Owners
This guide is for practice owners, not patients. The counterintuitive part of surprise billing today is that the biggest risk often isn't […]
Balance Billing Guide for OON Practices Under the NSA
If you're an out-of-network physician owner, balance billing didn't disappear in 2022. It got regulated. The No Surprises Act changed which claims […]