CollectionPro, a specialist in Independent Dispute Resolution (IDR) and out-of-network (OON) collections, announced an expansion of its recovery services tailored for complex medical specialties affected by the No Surprises Act (NSA). The firm reports a 92% success rate in arbitrations, significantly above the industry average, and has handled over 10,000 cases under the leadership of David Nissanoff, an expert in healthcare arbitration.
Since the NSA took effect, healthcare providers have faced increased administrative burdens, with routine billing departments often struggling to navigate the IDR process. CollectionPro focuses exclusively on OON claims, applying legal and analytical scrutiny to each case. The firm uses proprietary data and specialty-specific arguments to counter unfair payer benchmarks, ensuring providers receive fair compensation for specialized services.
A key barrier for many providers is the high cost of arbitration, with upfront fees exceeding $1,200 per dispute. CollectionPro eliminates this hurdle by operating on a pure contingency model: the firm fronts all administrative and arbitration costs, charging a 10% success fee only on gross awards when the provider wins. This performance-based structure aligns the firm's goals with those of providers, turning a costly process into a predictable revenue stream.
CollectionPro's approach includes customized pricing strategies that move beyond basic Medicare multiples to reflect true market rates. The team navigates federal NSA rules and state-specific laws, such as those in New Jersey and California, with in-house legal expertise. If an insurer fails to pay a won award, CollectionPro pursues enforcement via CMS reporting and legal action.
The firm offers a secure portal for providers to track Explanation of Benefits (EOB) and patient details. Once OON claims are submitted, CollectionPro manages the entire dispute lifecycle: claim analysis for IDR eligibility, open negotiation during the mandatory 30-day window, arbitration management including entity selection and filing, and live tracking through an integrated dashboard.
CollectionPro also specializes in recovering aged receivables, re-opening and re-filing OON claims that are 12 to 36 months old. This service allows practices to capture funds previously considered write-offs, impacting year-end bottom lines. For more information, visit CollectionPro.
