The Independent Dispute Resolution (IDR) process for NSA continues to deliver surprises and complexities for payers. For example, in a February IDR ruling, a provider was required to refund money to a payer! A successful IDR outcome requires a strong strategy. It’s essential to have a skilled team that is current on IDR guidance and rulings and uses that information to help identify a variety possible scenarios and related arguments. As we’ve seen, thoughtful, well supported arguments can allow payers to offer amounts LESS than what they initially paid a provider. Do you have the right team representing your interests in Open Negotiations and IDR?
