The Centers for Medicare and Medicaid Services (CMS) has released a new Frequently Asked Question (FAQ) document on providing good faith estimates to uninsured and self-pay patients.
Disclaimer: The information below and the answers to each question are accurate as of the posting of this article (December 27, 2021). As of this posting, we have been told that Subpart G – Protection of Uninsured or Self-Pay Individuals, does apply to outpatient physical, occupational and speech therapy services provided in all settings, including private practices. The Private Practice Section (PPS) of the American Physical Therapy Association (APTA) is seeking further clarification from the Department of Health and Human Services and if any information should be changed and/or clarified, this article will be updated.
The No Surprises Act was enacted as part of the Consolidated Appropriations Act, 2021, which became law on December 27, 2020. On July 13, 2021, 4 Agencies, including the Centers for Medicare and Medicaid Services (CMS), Department of Health and Human Services published an interim final rule titled Requirements Related to Surprise Billing; Part 1 in the Federal Register. On October 7, 2021, 4 Agencies, including CMS published an interim final rule titled Requirements Related to Surprise Billing; Part 2 in the Federal Register. The 2 rules combined totals 277 pages. In this article, I will provide answers to the following questions regarding Subpart G – Protection of Uninsured or Self-Pay Individuals:
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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.