Mastering Good Faith Estimates Under the No Surprises Act: Compliance and Best Practices

Complying with the No Surprises Act (NSA) can be a challenging task for hospitals and providers, especially when it comes to furnishing Good Faith Estimates (GFE) for all schedulable services for self-pay and uninsured patients.

The NSA requires providers and hospitals to itemize GFEs at the claim level and include charges from co-providers. These content requirements are significantly greater than what is required under CMS Price Transparency. Despite being a year into the NSA, very few hospitals have been able to fully comply with the requirements.

This webcast will provide you with an overview of the NSA/GFE policy and its impact. We’ll demonstrate a step-by-step process to help you adhere to the requirements and avoid non-compliance penalties.

Why This Is Relevant:

While enforcement may be delayed at present, it is highly probable that further rulemaking will be provided later this year.
As such, it is crucial for providers and hospitals to realize that the NSA/GFE is not going away, and that non-compliance with these regulations could lead to severe consequences. Therefore, it is essential to figure out a way to become compliant with the regulations, in order to ensure compliance and avoid any potential penalties.

Learning Objectives:

• Understanding the latest industry updates with the No Surprises Act
• learning the approach to arrive at expected charges for Good Faith Estimates, and
• identifying the differences between compliant versus non-compliant GFEs.

Who Should Attend:

Directors / Managers / coordinators / analysts working in finance, revenue integrity, PFS, compliance and managed care.