NSA · Federal IDR

20% of every NSA IDR award, indefinitely. That is what the contingency model costs your practice.

A practice that recovers $400,000 per year through a 20% contingency attorney pays $80,000 in annual fees. Over five years, that is $400,000 paid to a firm that may not specialize in surgical CPT coding and may be batching codes in ways that reduce the number of disputes your practice wins. The contingency fee is the visible cost. The lost disputes from batched filings are the invisible one.
Get a free NSA IDR reviewBook a consultation(914) 705 6830
  • Surgeon founded
  • HIPAA compliant · BAA on request
  • One claim per CPT at federal IDR

Why attorneys underperform on surgical NSA IDR.

Federal IDR is administrative law, not litigation. The skills do not transfer.

Batching CPT codes

Federal IDR requires one claim per CPT code. Attorneys batch multiple codes into single submissions because it is faster for them. The result: a composite offer that does not map to any single prior determination. Arbitrators resolve ambiguity against the initiating party.

Generalist documentation

A clinical necessity narrative for CPT 61510 (craniotomy for tumor excision) written by someone who does not know the difference between a craniotomy and a craniectomy does not perform well against an insurer QPA argument.

Contingency economics misaligned with your interest

An attorney taking 20% of every recovery has no economic incentive to fight for the last 10% of a disputed claim. The marginal effort to recover an additional $2,000 on a $20,000 dispute does not justify the attorney time at 20% economics.

What Kronos Revenue does differently.

Scroll horizontally to compare

Comparison of NSA IDR handling by attorneys versus Kronos Revenue
 Your attorneyKronos Revenue
Fee model20% of every recoveryQuoted to your volume — most practices keep roughly nine in ten dollars won
Specialty depthGeneralist — IDR is a side practiceSpecialty trained: ortho / neuro / spine / plastics
Filing approachOften batches CPT codesOne claim per CPT — the way IDR was designed
Who's on the fileJunior associatesRCM specialists trained by Dr. Abrahams (surgeon founder)
CommunicationQuarterly, if you're luckyLive 9–5 M–F, 24 hr email, monthly review
What you keep per dollar wonAbout eighty cents — after the 20% contingencyAbout ninety cents or more — quoted to your volume, not skimmed from every award
Total practice savings20% fee on fewer won IDR disputesGreater share of every award — plus more disputes won at IDR

A note on your attorney relationship.

Switching NSA IDR to Kronos Revenue does not affect your attorney relationship for other matters. Most attorneys doing IDR work are happy to step back from it. We handle transition documentation. In flight cases are reviewed and taken over where deadlines allow.

If you want to test Kronos Revenue before committing, Week 2 of onboarding runs your first five claims in parallel with your current process as a proof of concept.

The free review is a math exercise, not a sales call.

Send us 3 to 5 recent EOBs. We calculate: what you recovered under your current arrangement, what you would have recovered through Kronos, what our fee would be, the net difference. If our number is worse than staying with your attorney, we tell you.

Request your free IDR review

How Kronos Revenue is priced

Medical review

Questions about switching from an attorney

How does the handover from my attorney work?
We handle transition documentation and coordinate in flight cases. Most NSA attorneys are happy to step back from IDR work — it is a low margin side practice for them.
Will my attorney push back?
Rarely. IDR is administrative work most litigation firms do not want to scale. Your relationship for other legal matters stays intact.
What about in flight cases?
We can take over active IDR disputes when deadlines allow and complete submissions or responses on your behalf.
Can I try Kronos before fully switching?
Yes. Week 2 of onboarding runs your first 5 claims in parallel with your current process as a proof of concept before full handover.

References

  1. CMS Federal IDR Q1/Q2 2025 Public Use File (January 21, 2026)
  2. Georgetown University CHIR · Health Affairs webinar, March 2026
  3. Brookings Institution NSA Arbitration Databook · April 2026
  4. ACR — Providers prevail in vast majority of IDR claims · January 29, 2026
  5. Zelis — NSA IDR eligibility challenges · March 2026
  6. No Surprises Act: Public Law 116-260, Division BB, Title I
  7. Federal IDR regulations: 45 CFR Part 149
  8. CMS No Surprises Act overview
  9. Federal IDRE portal

Explore more on Kronos Revenue

Request your free IDR review

Get a free NSA IDR review(914) 705 6830
  • Surgeon founded
  • HIPAA compliant · BAA on request
  • One claim per CPT at federal IDR