The IDR Playbook
The IDR Economics Have Changed. Has Your Revenue Cycle Strategy?
The 2026 Federal IDR changes lower several barriers to pursuing out-of-network underpayments—but recovery still depends on finding the right claims, meeting tight deadlines, building strong submissions, and managing the process through payment.
Download The IDR Recovery Gap Playbook, an executive guide for revenue cycle leaders on turning Independent Dispute Resolution from a one-off dispute process into a governed revenue opportunity.
90%+
IDR win rate*
3x
average recovery over payer's initial offer*
250-350%
of Medicare rates are typical outcomes for the same services*
*Results across all Knowtion IDR clients over a rolling one year period
DISCOVER what is hidden.
RECOVER what is owed.
OPTIMIZE what keeps leaking.
CMS reported that in
the first half of 2025, providers, facilities, and air ambulance providers prevailed in
approximately 88% of payment determinations.
- The IDR Recovery Gap Playbook, 2026 edition