@keyframes pulse { 0%, 100% { opacity: 1; } 50% { opacity: .5; } } Federal Compliance Shield

No Surprises Act
Compliance.

Avoid crippling $10,000+ federal penalties. We automate Good Faith Estimates (GFE), out-of-network negotiations, and dispute resolutions to fully protect your revenue and reputation.
Secure Your Practice

Standard Operations

Our NSA Compliance Workflow

A strict, multi-step process engineered to guarantee that self-pay and out-of-network patients are handled in perfect accordance with federal law.

1

Patient Identification

Instantly flagging uninsured, self-pay, and out-of-network patients during scheduling to trigger mandatory NSA protocols.

2

GFE Generation

Calculating and issuing highly accurate Good Faith Estimates (GFEs) within the legally required 1-3 business day windows.

3

Notice & Consent

Calculating and issuing highly accurate Good Faith Estimates (GFEs) within the legally required 1-3 business day windows.

4

IDR Management

Aggressively defending your reimbursement through the Independent Dispute Resolution (IDR) and open negotiation phases.

HBS Shield

The HBS NSA Shield:
Total Legal Immunity

The No Surprises Act completely altered out-of-network and self-pay billing. Minor clerical errors can now trigger devastating audits and fines up to $10,000 per violation.
Our dedicated compliance experts absorb the entire regulatory burden, aligning your billing cycle with the Qualified Payment Amount (QPA) and expertly managing arbitration.

100%

Compliance Rate

$0

Federal Fines

GFE Automation

We calculate expected charges, including primary and co-provider services, generating Good Faith Estimates to prevent $400+ variance disputes.

QPA Alignment

We audit payer-calculated Qualifying Payment Amounts (QPA) to ensure out-of-network patient cost-sharing is mapped correctly, preventing illegal balance billing.

Open Negotiation

If initial out-of-network payments are insufficient, we initiate the 30-day open negotiation period, providing concrete market data to push for higher reimbursement.

IDR Arbitration

If negotiations fail, we assemble robust "baseball-style" arbitration packets and manage the federal IDR portal to fight for the fair value of your services.

Don't Risk Regulatory Fines.

Let our specialized compliance team handle the No Surprises Act workflow. Protect your practice and your patients.
Get Compliant Today

Optimize Your Revenue Cycle with HBS

Partner with experienced RCM specialists to streamline billing, reduce denials, and improve cashflow.

+1 (818)-853-8889

Request your consultation