NSA Minute: Unexpected Scenarios

NSA Minute: Unexpected Scenarios

As we follow the impact of NSA, we continue to see unexpected scenarios occur. For example, with out-of-network at an in-network facility or even emergency care, we assume this excludes office visits. However, recently it has been shown that there are unique instances where office visits could fall under NSA around radiology and clinical lab. This means it’s crucial to continually update and evolve logic that identifies your NSA claims. How adaptable is your system?