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Cracking the NSA: What Out-of-Network Surgeons Really Need to Know


News provided by

CH Revenue Mangement Solutions

Dec 16, 2025, 07:29 ET

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CH Revenue Management Solutions (CHRMS) has launched a five-part educational series to help out-of-network surgeons understand and leverage the No Surprises Act. The first installment breaks down key misconceptions, outlines essential compliance steps, and shows how surgeons can use the NSA's dispute resolution process to protect revenue and challenge underpayments.

NEW YORK, Dec. 16, 2025 /PRNewswire-PRWeb/ -- CH Revenue Management Solutions (CHRMS), a leading authority in revenue protection for independent and out-of-network surgeons, today announced the launch of a five-part educational series on the No Surprise Act for out-of-network surgeons. The series provides clear, actionable guidance on NSA compliance for surgeons, helping them navigate NSA balance billing rules, and use the NSA Independent Dispute Resolution process to recover underpayments and protect their bottom line.

The first installment, Cracking the No Surprises Act for Out-of-Network Surgeons: What You Really Need to Know, reframes the law as more than just a regulatory hurdle. Instead, it positions the NSA as a framework for stronger financial control, improved patient trust, and better reimbursement outcomes.

"Mastering the No Surprises Act isn't just about avoiding penalties, it's about strengthening financial control, protecting income, and leveling the playing field with insurers." – Leslie Howard, Founder and CEO, CHRMS

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"The No Surprise Act has fundamentally changed how out-of-network surgeons bill, collect, and communicate about costs," said Leslie Howard, Founder and Chief Executive officer of CHRMS. "Too many practices mistakenly believe the No Surprise Act applies only to emergency services. In truth, the NSA touches nearly every surgical encounter, and mastering compliance helps secure optimal reimbursement, create new opportunities for growth, and leverage the playing field with insurance payors."

The blog outlines critical strategies, including:

  • The Misconception: "NSA Only Applies to Emergency Services"
  • Understanding NSA balance billing rules for emergency and non-emergency scenarios
  • Integrating the Notice and Consent process to fir your business model
  • Using the NSA Independent Dispute Resolution process to secure fair payments from insurers
  • Developing airtight compliance systems to prevent revenue loss and avoid penalties

"Underpayments, forced write-offs, and penalties for non-compliance are a constant threat to out-of-network surgeon reimbursement under the NSA," said David Boden, President of CHRMS. "Surgeons who know how to challenge low payments through the NSA payment disputes process are in a far stronger position to protect their income and maintain financial stability."

Part two of the series will explore how the NSA didn't just change how out-of-network surgeons bill patients, it transformed how your entire practice must operate.

The complete blog post is available here: https://forthesurgeons.com/blog/cracking-the-nsa-what-out-of-network-surgeons-really-need-to-know/

About CH Revenue Management Solutions (CHRMS):

CH Revenue Management Solutions is a dedicated partner to independent surgeons, specializing in compliance strategy, dispute resolution, and revenue recovery. With deep expertise in payer regulations such as the No Surprise Act for out-of-network surgeons, CHRMS helps practices secure fair reimbursement, strengthen compliance, and maintain predictable cash flow.

Media Contact

Tracey Seibert, CH Revenue Mangement Solutions, 1 8484568200, [email protected], https://forthesurgeons.com/

SOURCE CH Revenue Mangement Solutions

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