After almost a year of NSA, we’re seeing a trend creating a headache for payers: inaccurate QPAs. Calculating an accurate QPA is difficult. And relying solely on Fair Health medians, being too dependent on owned networks for historical rates, using incorrect MSA assignments, improperly determining State vs Federal jurisdiction can all result in miscalculated QPAs. Don’t leave money on the table or risk non-compliance. Exponent Health’s AI-driven, multi-data source approach to QPAs is here to help. Contact us if you’re interested in a consult or quick pulse check analysis to see how your performance measures up.
