The implementation of the No Surprises Act has created substantial administrative complexity for healthcare providers, particularly those in surgical, orthopedic, and interventional pain practices. CollectionPro, a specialist in Independent Dispute Resolution and out-of-network collections, has emerged as a critical solution with a 92% success rate in arbitrations, significantly higher than industry averages. This performance addresses a growing financial stability challenge for specialized medical providers navigating the post-NSA landscape.
David Nissanoff, CollectionPro's strategic leader and a recognized healthcare arbitration expert, explained the core issue: "The No Surprises Act was intended to protect patients, but it should not be used by insurers to systematically underpay specialized providers." The firm has successfully handled over 10,000 cases by utilizing proprietary data and specialty-specific arguments that counter unfair payer benchmarks, positioning itself as the legal and operational backbone for practices seeking fair compensation for out-of-network services.
One of CollectionPro's most significant innovations is its financial model that removes barriers to arbitration. Traditional vendors often require providers to pay upfront arbitration and administrative fees exceeding $1,200 per dispute, creating a financial deterrent for pursuing legitimate claims. CollectionPro operates on a pure contingency basis, fronting all administrative fees and arbitration costs, with providers paying only a 10% success fee based on the gross award when they win. This structure aligns the firm's goals directly with healthcare providers, transforming a costly administrative burden into a predictable revenue stream.
The firm's advanced strategies address the technical complexities of the 2026 regulatory landscape, which requires precise documentation and deep understanding of Qualified Payment Amounts beyond simple claim submission. CollectionPro assists providers by identifying specific CPT codes and facility settings that qualify for maximum recovery, particularly places of service 21, 22, 23, and 24. Their customized pricing strategy moves beyond basic Medicare multiples to reflect true market rates, while jurisdictional expertise navigates the complex intersection of federal NSA rules and state-specific surprise billing laws in states like New Jersey and California.
CollectionPro's operational approach provides healthcare managers with streamlined processes through a secure, user-friendly portal offering complete transparency for Explanation of Benefits and patient details. Once out-of-network claims are submitted, the firm manages the entire dispute lifecycle, including claim analysis for IDR eligibility, managing the mandatory 30-day negotiation window with payers, selecting optimal IDR entities, filing disputes, and providing real-time status updates through an integrated dashboard. For more information about their services, visit https://www.collectionpro.com.
Beyond time-sensitive IDR processes requiring action within 30 days of an EOB, CollectionPro specializes in recovering aged receivables, often re-opening and re-filing out-of-network claims that are 12 to 36 months old. This revenue resurrection service allows practices to capture funds previously considered write-offs, significantly impacting year-end financial results. The firm's aggressive enforcement approach ensures compliance, pursuing enforcement via CMS reporting and legal follow-up when insurers fail to pay won awards, completing a comprehensive solution for healthcare providers navigating the challenges of the No Surprises Act era.
