CollectionPro, a specialist in Independent Dispute Resolution (IDR) and out-of-network (OON) collections, has announced an expansion of its recovery services for healthcare providers impacted by the No Surprises Act (NSA). The firm reports a 92% win rate in IDR arbitrations, significantly above the industry average, and has handled over 10,000 cases. This development matters because the NSA has created administrative and financial barriers for specialized medical practices, leading to underpayments and missed deadlines. CollectionPro's approach eliminates upfront costs, with a pure contingency model charging a 10% success fee only upon winning.
Under the leadership of David Nissanoff, an expert in healthcare arbitration, CollectionPro uses proprietary data and specialty-specific arguments to counter unfair payer benchmarks. The firm focuses exclusively on OON claims, providing legal and analytical scrutiny for each case. According to Nissanoff, the NSA was intended to protect patients, but insurers have used it to systematically underpay specialized providers. CollectionPro acts as a legal and operational backbone, ensuring providers are compensated for the true value of their expertise.
A key barrier for many practices is the high cost of arbitration, with traditional vendors requiring upfront fees exceeding $1,200 per dispute. CollectionPro eliminates these costs by fronting all administrative fees and arbitration costs. This performance-only structure aligns the firm's goals with providers, turning administrative burdens into predictable revenue streams. The service covers complex medical specialties such as surgical, orthopedic, and interventional pain practices.
CollectionPro's strategies include customized pricing beyond basic Medicare multiples, jurisdictional expertise in federal and state laws (e.g., New Jersey and California) with in-house state-licensed lawyers, and aggressive enforcement against insurers that fail to pay awards. The firm also assists providers in identifying CPT codes and facility settings (places of service 21, 22, 23, 24) that qualify for maximum recovery. Through a secure portal, practices can track Explanation of Benefits (EOB) and patient details, while CollectionPro handles the entire dispute lifecycle: claim analysis, open negotiation, arbitration management, and live tracking.
In addition to current claims, CollectionPro specializes in recovering aged receivables from 12 to 36 months old, re-opening and re-filing claims previously considered write-offs. This service can significantly impact year-end bottom lines. As the 2026 regulatory landscape demands precise documentation and understanding of Qualified Payment Amounts (QPA), CollectionPro's end-to-end management provides a streamlined solution for busy healthcare managers.
