Nixon Peabody healthcare regulatory and reimbursement attorneys recently authored several LexisNexis Practice Guidance articles analyzing key developments in the rapidly evolving Independent Dispute Resolution (IDR) process under the No Surprises Act (NSA), which protects patients from surprise medical bills from out-of-network providers for emergency and certain nonemergency services. The publications highlight practical guides for compliance, arbitration trends, and litigation shaping how reimbursement disputes between providers and health plans are resolved.
Across these resources, they outline:
- Air‑ambulance‑specific IDR factors, including vehicle type, patient acuity, crew training, and pickup‑site population density
- Enforcement challenges, including diverging federal court opinions about whether providers may seek judicial enforcement of IDR awards
- Ongoing agency enforcement discretion through 2026 that affects Qualified Payment Amount (QPA) calculations and IDR submissions
Read the LexisNexis Practice Guidance articles to ensure compliance and understand the latest litigation developments (subscription required).
- Compliance for Air Ambulance Service Providers
- Good Faith Estimates Compliance Checklist
- Disclosure Clause for Surprise Medical Billing
- Group Health Plan Compliance Presentation
- Provider and Facility Compliance Presentation
- Qualifying Payment Amounts & Median Contract Rates
- Developments in the IDR process