CollectionPro, a specialist in Independent Dispute Resolution (IDR) and out-of-network (OON) collections, announced an expansion of its recovery services tailored for complex medical specialties affected by the No Surprises Act (NSA). The firm focuses on surgical, orthopedic, and interventional pain practices, aiming to recover fair market value for specialized services while reducing administrative burdens.
Since the NSA's implementation, healthcare managers have faced increased complexity in billing, often leading to underpayments or missed filing deadlines. CollectionPro addresses these issues by handling the entire IDR lifecycle, from claim analysis to arbitration management. Under the leadership of David Nissanoff, the firm has processed over 10,000 cases with a 92% win rate, significantly higher than industry averages. This success is attributed to proprietary data and specialty-specific arguments that counter unfair payer benchmarks.
A key barrier for many providers is the high cost of arbitration, with traditional vendors requiring upfront fees exceeding $1,200 per dispute. CollectionPro eliminates these costs through a pure contingency model, where the firm fronts all administrative and arbitration fees. Providers pay only a 10% success fee based on the gross award if claims are won, aligning the firm's incentives with providers' goals.
CollectionPro's approach includes customized pricing strategies that move beyond basic Medicare multiples to reflect true market rates. The team navigates federal NSA rules and state-specific laws in jurisdictions like New Jersey and California, with in-house state-licensed lawyers. If insurers fail to pay won awards, CollectionPro pursues enforcement via CMS reporting and legal follow-up.
The firm offers a secure portal for transparency on Explanation of Benefits (EOB) and patient details. Services include claim analysis, open negotiation during the mandatory 30-day window, arbitration management, and live tracking through an integrated dashboard. Additionally, CollectionPro recovers highly aged receivables, re-filing claims 12 to 36 months old that were previously considered write-offs.
"The No Surprises Act was intended to protect patients, but it should not be used by insurers to systematically underpay specialized providers," said David Nissanoff. "At CollectionPro, we act as the legal and operational backbone for practices. We ensure that if you are out-of-network, you are still compensated for the true value of your expertise."
