Answers
For anesthesia, surgery, monitoring, and pain groups that bill at ambulatory surgery centers, these plain-language answers use the CMS public use files and the parts of the No Surprises Act that apply to facility-based care.
The surgery center IDR record
162,740 disputes, an 83.05 percent win rate, anesthesia in 65.04 percent, and three filers bringing 42.67 percent.
Read the answerCan surgery center claims use federal IDR?
Which clinicians qualify at in-network surgery centers, how the surgeon consent exception works, and which claims fall outside the Act.
Read the answerWhat surgery center codes pay in federal IDR
The number of disputes, win rate, median QPA, and median award for each anesthesia, nerve block, spinal injection, and monitoring code billed at surgery centers.
Read the answerFor questions beyond this site, such as which claims are eligible or how the arbitration itself unfolds, see the Lido IDR answers library. The full dispute record is explorable at idrexplorer.com.
Have a question about your own claims?
Bring your payer mix and rough out-of-network volume to a 30 minute call. We will sort what is eligible and show you what similar providers are winning. Talk to an IDR specialist.