Beginning January 1, 2022, all providers and facilities are required to provide a good-faith estimate (GFE) to uninsured (or self-pay) individuals when scheduling a service or upon the individual’s request. The good-faith estimate must include expected charges for the scheduled service. This stems from the second interim final rule with comment (IFC) released on September 30th by the U.S. Department of Health and Human Services (HHS), the Department of Labor, and the Department of Treasury (“the Departments”), along with the Office of Personnel Management (for parts applicable to the Federal Employee Health Benefit Program (FEHBP) related to the implementation of the No Surprises Act to address surprise billing and implement additional patient protections. To assist providers and facilities navigating the good-faith estimate requirements, The Center for Medicare & Medicaid Services (CMS) has recently released a new set of FAQs prepared by the Department of Health and Human Services (HHS).
Click here for more information regarding surprise billing.