Becker's Healthcare December 19, 2025
Francesca Mathewes

The federal No Surprises Act went into effect in 2022 with the goal of preventing surprise billing by implementing an independent dispute resolution process for payment disputes between payers and out-of-network providers.

In a Dec. 18 episode of Keeping up with the Radiologists, a podcast produced by Philadelphia-based Penn Radiology and AuntMinnie, Rich Heller, MD, associate chief medical officer of health policy and communications and national director of pediatric radiology at Radiology Partners discusses the NSA’s rollout and reception over the last several years.

Here are five takeaways from the episode:

1. CMS has reported both an influx of IDR initiation requests, a backlog of unresolved disputes and the rise of third-party entities working as arbitrators. According to...

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