Answers
Plain-language answers for critical care and emergency groups, with figures from the CMS public use files and eligibility rules from the No Surprises Act provisions on emergency and intensivist care.
The critical care IDR record
52,569 disputes, an 88.07 percent win rate, $131.8 million in winning 99291 offers, and five filers bringing 70.47 percent.
Read the answerCan critical care physicians use federal IDR?
ED critical care as an emergency service, intensivists at participating hospitals, and what falls outside the Act.
Read the answerCritical care time codes in federal IDR
Which companion lines bill with critical care, and what 99291 and 99292 pay in the ED and in inpatient units.
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.