The lede
The No Surprises Act enforcement landscape shifted again in early 2026. If your good-faith estimate workflow has not been updated since Q4 2025, it is likely out of compliance.
This update covers the federal enforcement priorities for the coming year, the open questions on IDR arbitration timing, and the operational gaps practices most often miss.
What this piece covers
- 2026 enforcement priorities and likely audit triggers.
- Updates to good-faith estimate disclosures.
- IDR timing and the rolling backlog at the federal portal.
- A two-week checklist to bring your workflow current.
In editorial review
The full article is in the senior-reviewer queue and publishes with the next Friday newsletter. Subscribe below and you'll receive it the moment it ships, along with the rest of the week's RCM commentary.
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