Skip to Main Content
Don't have an account? Create Account
x
Don't have an account? Create Account

CMS Issues FAQs on Surprise Billing, Good Faith Estimates

Two new Centers for Medicare & Medicaid Services documents answer FAQ about No Surprises Act (NSA) rules for health care providers and provision of good faith estimates (GFEs) for uninsured or self-pay patients.

The FAQ for providers include common concerns about NSA rules and guidance on patient signature requirements, independent dispute resolution fees, and exceptions to the following requirements:

  • balance billing for out-of-network emergency services;
  • notice and consent;
  • disclosure of patient protections;
  • GFEs for uninsured or self-pay patients; and
  • continuity of care when a provider’s network status changes.

The FAQ on GFEs clarify requirements for including diagnostic codes for initial visits and expected charges for future visits. They also outline instances when GFEs are not required, including:

  • for recurring visits;
  • when unforeseen services are provided;
  • for walk-in appointments; and
  • if the patient was insured when the appointment was scheduled but is not insured at the time of the appointment, unless the provider is notified three business days before the appointment.

Contact Senior Director of Policy Erin O’Malley at eomalley@essentialhospitals.org or 202.585.0127 with questions.

Share

About the Author

Julie Kozminski is a senior policy analyst at America's Essential Hospitals.

where to buy viagra
buy lasix
buy doxycycline
buy trazodone
buy metoprolol
where to buy methylprednisolone
where to buy disulfiram
canadian pharmacy
buy albuterol inhaler
buy cialis online
prednisone otc
where to buy accutane
buy abilify
buy domperidone
buy neurontin
where to buy zithromax online
buy synthroid
ivermectin otc
buy strattera online
metformin otc
clomid online
nitrofurantoin otc
online drugstore
where to buy flagyl
where to buy diflucan
mexican pharmacy
misoprostol online
discount pharmacy
citalopram online
hydroxyzine online
Previous Next
Close
Test Caption
Test Description goes like this