Services · Damages analysis
No Surprises Act damages analysis for testifying experts
Short answer
Verdict Consulting Group provides No Surprises Act damages analysis for testifying experts and the counsel who retain them. We build damages models from de-identified IDR determinations, remittances and fee schedules, document every transformation so the work is reproducible, and prepare data appendices and exhibits. The expert keeps the opinions; we supply the data work behind them.
Who it’s for
- Testifying experts
- Experts who need damages calculations built, documented and reproducible from the underlying records.
- Outside counsel
- Counsel who need a damages model and exhibits that tie back to source data.
- Provider groups
- Groups whose awards or payments are at issue and whose data must be organized for the model.
- Revenue-cycle leaders
- Teams supplying remittance and fee-schedule data who need it used consistently.
What you get
- Expert-ready analyses with documented, reproducible methodology
- Damages models built from determinations, remittances and fee schedules
- Eligibility forensics: batching, cooling-off, open negotiation and timing
- Data appendices and exhibits prepared for counsel and testifying experts
- Reproducibility package: input inventory, transformation log and calculation workbook
- Sensitivity runs on the assumptions counsel or the expert specify
How it works
- 01
Scope
We agree the question, the portfolio slice, the date range and the deliverable with you and, where involved, your counsel.
- 02
De-identified data transfer
You send de-identified extracts (IDR records, determinations, remittances) through a transfer method set up during scoping. Nothing containing PHI goes through this site.
- 03
Analysis
We build the damages model to the expert’s specification from determinations, initial payments, cost sharing, remittances and fee schedules, logging each step.
- 04
Report
You receive the model, data appendices and exhibits, and a reproducibility package the expert and counsel can review line by line.
What we don’t do
- We do not provide legal advice, and we do not tell you whether to sue, settle or initiate IDR. Those are decisions for you and your counsel.
- We are not a law firm and do not represent any party.
- We do not accept protected health information through this website. Data transfer is arranged during scoping, using de-identified data.
- We do not replace a testifying expert or legal judgment. Our analyses are prepared to support them.
Frequently asked
Who provides damages analysis for No Surprises Act litigation?
Verdict Consulting Group provides No Surprises Act damages analysis for testifying experts and counsel. Litigation economics firms also build damages models. Verdict Consulting Group focuses on the IDR-specific data: determinations, selected offers, initial payments, cost sharing and payment timing.
Does Verdict Consulting Group act as the testifying expert?
This service is built to support a testifying expert, not replace one. The expert forms and gives the opinions; we supply documented, reproducible data work behind them.
What inputs does an NSA damages model use?
Typically the certified IDR entity determination and selected offer, the initial payment, patient cost sharing, remittance amounts and dates, and any fee schedules counsel specifies. Under 45 CFR 149.510 the amount owed on an award is the selected offer less the initial payment and cost sharing.
Can a damages model account for disputes a payer says were ineligible?
Yes. Eligibility forensics can flag disputes against the open negotiation, timing, batching and cooling-off rules, so the model can show results with and without contested items.
Related research
- NSA AnswerHow long does a health plan have to pay an IDR award?
- NSA AnswerWhat is the qualifying payment amount (QPA)?
- NSA AnswerWhat did the Texas Medical Association v. HHS cases decide?
- InsightHow did the TMA lawsuits reshape the federal IDR process, 2022–2026?
- InsightCan a provider sue to enforce an unpaid IDR award? Where the courts stand after the Second Circuit
- The Docket · E.D. Tex.Texas Medical Association v. U.S. Department of Health and Human Services (TMA IV)
- The Docket · S.D.N.Y. → 2d Cir.East Coast Advanced Plastic Surgery, LLC v. Cigna Health and Life Insurance Co.