No Surprises Act Flyer

No Surprises Act

The Phia Group’s No Surprises Act (NSA)’s service, offered to users of both Unwrapped and Balance Bill SafeGuard, includes support for both payment and open negotiations as well as formal dispute resolution triage and navigation. With years of experience in balance bill resolution, litigation, and nationwide negotiations in complex regulatory forums for hundreds of clients, The Phia Group can provide NSA payment analysis and recommendations including an initial payment, QPA support, and multiple factors to utilize in open negotiations such as quality, costs, and credible transparency data from payors and providers to show comprehensive claim level benchmarks. A thorough review of your stop-loss policy regarding excluded expenses is also provided.

Additionally, The Phia Group can provide IDR timeline tracking, procedural challenges and orientation in a complex process as well as offer support leading up to and through the entire process, leveraging real-word experience in the IDR portal and contact with Independent Dispute Resolution Entities. With its extensive team of staff attorneys, domain knowledge, clinical auditors, certified coders, and data analysts, The Phia Group can help you efficiently strategize and respond in a timely manner to the unique standards for cost containment and defense set by the NSA. In addition to our core services, we also provide a comprehensive analysis of OON and wrap network claims to help you create an NSA-driven strategy that works for you.