EDPMA Study: No Surprises Act Independent Dispute Resolution Process

By Sarah Bendorf.
Updated Mar 9, 2023

MCLEAN, Va. (PRWEB) March 09, 2023 - The No Surprises Act (NSA) was designed to keep patients out of the middle of payment disputes and to ensure fair and balanced resolutions of payment disputes between healthcare providers and payors. A study released by the Emergency Department Practice Management Association (EDPMA) reveals that the Independent Dispute Resolution (IDR) process as outlined in the No Surprises Act is broken, causes harm to U.S. emergency departments and risks patients access to quality emergency care.

With the NSA being in place for one year, EDPMA commissioned a study of its members to understand the real-world impact of the federal law. While it appears the NSA achieved its goal to protect patients, the flawed implementation of the legislation threatens how emergency departments are staffed and could jeopardize the emergency department safety net.

The commissioned study analyzed almost 220,000+ outstanding claims and revealed:

EPDMA is committed to a viable and sustainable No Surprises Act implementation. We continue to offer solutions, input, and data to the Department of Health and Human Services, the Department of Labor, and the Department of Treasury to:

Implement the law as designed

See the study summary here.

We strongly believe that emergency physicians should be fairly reimbursed for the delivery of emergency care, and payers should do their part to not undermine the emergency medical health care delivery system and the overall health of our healthcare system. EDPMA will continue to advocate for its members and patients, says Don Powell, DO, FACEP, EDPMA Chair of the Board.

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About EDPMA The Emergency Department Practice Management Association (EDPMA) is the nations only professional physician trade association focused on the delivery of high-quality, cost-effective care in the emergency department. EDPMAs membership includes emergency medicine physician groups of all sizes, as well as billing, coding, and other professional support organizations that assist healthcare providers in our nations emergency departments. Together, EDPMAs members deliver (or directly support) health care for about half of the 146 million patients that visit U.S. emergency departments each year. Visit http://www.edpma.org.