At the end of 2022, half of hospitals are in the red — putting pressure on hospitals to look for new opportunities to increase revenue. This year, OIG added to the pressure with transparency in coverage enforcement and by looking at hospitals seeking to obtain bad debt recoveries from CMS. All of this is compounded by inflationary pressures and rising labor costs associated with a nursing shortage in this country. As part of their financial strategy hospitals may take a more aggressive stance in their NSA open negotiations either directly or indirectly through their collection partners. Having an efficient processing system and a strong NSA support team will help alleviate your open negotiation administrative strain.