Inside the Practice

In this episode of Inside the Practice, Olivia Wolf and Matt Shortt sit down with Joey Rapine and Chris Foley to unpack the complex world of the No Surprises Act (NSA) and the Independent Dispute Resolution (IDR) process. 

Together, they explore why the legislation was created, how it impacts physician practices today, and the growing challenges providers face when dealing with out-of-network reimbursement, payer negotiations, and arbitration processes. The conversation dives into practical realities for practices—from navigating QPAs and baseball-style arbitration to the operational burden these disputes place on already stretched revenue cycle teams.

The group also discusses broader themes shaping healthcare sustainability, including shrinking margins, network adequacy concerns, physician shortages, and the importance of education and advocacy in helping practices recover revenue they’ve legitimately earned.

This episode is a valuable primer for practice administrators, physicians, and revenue cycle leaders trying to better understand one of the more complicated areas of healthcare reimbursement today.

Creators and Guests

Host
Matthew Shortt
Matthew Shortt is a respected healthcare leader with extensive experience in musculoskeletal care, clinical operations, and organizational leadership. He has over a decade of clinical practice in orthopedics, including founding and managing a successful private orthopedic practice in Blacksburg, VA. Throughout his career, Matthew has also served as a clinical preceptor and lecturer for multiple physician assistant programs, mentoring future healthcare providers.
Host
Olivia Wolf
Olivia J. Wolf, MBA, CPC, is a seasoned healthcare executive with more than 25 years of experience across medical coding, revenue cycle, clinical operations, practice administration, and business development.

What is Inside the Practice?

Inside the Practice is our monthly podcast featuring longer, in-depth conversations with physicians, practice leaders, and industry experts. Each episode dives into the real challenges and opportunities facing medical practices today, offering insights and strategies to help you stay informed, adaptable, and ready for what’s next.