Practice Areas

No Surprises Act Arbitration

MRS Law Group advises healthcare providers nationwide on resolving surprise billing disputes. We represent out-of-network providers in all 50 states for Federal No Surprises Act arbitration. We also represent New York and New Jersey clients for state surprise billing matters. Our healthcare arbitration practice group possesses an extensive and in-depth knowledge base that sets us apart from other law firms and non-law firm collections companies.

• Legislative Purpose: Many out-of-network medical providers throughout the United States treat patients at an in-network hospital or ambulatory surgical center. In other instances, patients are referred by an in-network doctor to an out-of-network provider. Thereafter, these patients would receive a “surprise bill” from these out-of-network providers when patients’ health insurance plans would fail to adequately reimburse these types of services, thereby leaving patients with colossal balance bills. So elected representatives got together and states began to pass laws to protect patients from “Surprise” out-of-network medical bills. Under Federal Law, it is referred to as the Federal No Surprises Act. In New York and New Jersey it is referred to as, respectively, the New York Surprise Billing law and the New Jersey Surprise Billing law. Under all three frameworks, the patients will only be responsible for their in-network cost-sharing (co-pay, deductible, and co-insurance) obligation.
• Collections Issues for Healthcare Providers: To resolve disputes between an out-of-network provider and a patient’s insurance carrier/insurer, the New York Surprise Bill, New Jersey Surprise Bill, and Federal No Surprises Act allow for an arbitration process. Of course, this change saved Insurance carriers billions in profits because healthcare providers were lost in trying to navigate the arbitration process in a timely manner.
• MRS Law Group Arbitration Services: Our law firm has created an efficient and successful process to submit claims/disputes to Federal No Surprises Act arbitration, New York Surprise Bill arbitration, and New Jersey Surprise Bill arbitration. These arbitrations garnered high success rates in a timely manner. Our team has the expertise to tackle these out-of-network claims from beginning to end efficiently to ensure that the eligible claims are submitted on time.
• Post- Arbitration Collections: Our firm ensures our clients exhaust all legal avenues before we give up on collecting for every case. Once a client actually does receive a favorable award or judgment, our firm guarantees that payment is made. For NSA arbitration awards, it’s common for insurance companies to delay sending arbitration award payments to medical providers. We engage directly with the carrier, collaborate with the Centers for Medicare & Medicaid Services (CMS), which has the authority to enforce compliance, and if necessary, pursue litigation. Ordinary non-law firm collection companies engage in arbitration submissions often times violating the unauthorized practice of laws of their jurisdiction. Not only are these companies clearly violating laws, their collections capabilities are limited. Even though you win an arbitration award the next phase begins as insurance carriers likely need to be compelled to make payments through litigation. Our team of attorneys, paralegals and support staff have represented clients in court on a variety of collections concerns.