NSA IDR articles for surgical practices.
Plain English guides on federal IDR, deadlines, evidence, and the economics of recovery.
Education · Article 01
The Federal IDR Timeline: Every Deadline That Can Kill Your Claim
The full federal IDR timeline for providers, from initial payment to binding determination, and the three windows where claims die.
ReadAttorney Comparison · Article 02
IDR Attorney vs IDR Service: The True Cost of 20 Percent
Contingency attorneys take 20 percent of every IDR award. The full cost is higher. A surgeon's math on fees, batching losses, and unfiled claims.
ReadAttorney Comparison · Article 03
The Claims Your Attorney Never Files
Contingency firms skip small IDR claims because the hours do not pay. Across a surgical year those unfiled claims usually exceed the fee itself.
ReadEducation · Article 04
Why 1 in 5 IDR Disputes Get Thrown Out
Roughly 1 in 5 federal IDR filings are found ineligible, mostly from process errors. The five mistakes that disqualify winnable claims.
ReadEducation · Article 05
The 2026 IDR Fee Cut Nobody Told Your Practice About
The 2026 federal rule cut IDR filing fees, removing the barrier that kept smaller surgical practices out of arbitration. What it means and who benefits.
ReadEducation · Article 06
Open Negotiation: The 30 Day Step That Protects Your Right to Arbitrate
Open negotiation is the mandatory first step before federal IDR. How to initiate it, what the notice must contain, and the deadline that forfeits claims.
ReadEducation · Article 07
What Actually Wins at IDR Arbitration
Federal IDR is baseball style arbitration. The evidence that wins: benchmark rates, case complexity, physician credentials, and one claim per CPT.
ReadEducation · Article 08
Federal vs State IDR: Which Process Applies to Your Claim
Self insured plans route to federal IDR. Fully insured plans in TX, NY, CA, NJ, and FL may route to state law. Getting this wrong disqualifies the claim.
ReadSpecialty · Article 09
Neurosurgery Out of Network Reimbursement: An IDR Guide
A neurosurgeon's guide to recovering out of network underpayments through federal IDR: complexity documentation, per CPT filing, and what awards look like.
ReadState · Article 10
New York's Surprise Bill Law Gives You 3 Years. Federal IDR Gives You 30 Business Days.
New York providers can challenge underpayments on state regulated claims years after payment. The resurrection opportunity most NY practices never use.
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