ABOUT THIS EPISODE
In this episode of Inside the Practice, Olivia Wolf and Matt Shortt sit down with Joey Rapine and Chris Foley to unpack the complex world of the No Surprises Act (NSA) and the Independent Dispute Resolution (IDR) process.
Together, they explore why the legislation was created, how it impacts physician practices today, and the growing challenges providers face when dealing with out-of-network reimbursement, payer negotiations, and arbitration processes. The conversation dives into practical realities for practices—from navigating QPAs and baseball-style arbitration to the operational burden these disputes place on already stretched revenue cycle teams.
The group also discusses broader themes shaping healthcare sustainability, including shrinking margins, network adequacy concerns, physician shortages, and the importance of education and advocacy in helping practices recover revenue they’ve legitimately earned.
This episode is a valuable primer for practice administrators, physicians, and revenue cycle leaders trying to better understand one of the more complicated areas of healthcare reimbursement today.
