Please join us on Wednesday, January 26, 2022, at 1 pm ET for our next member roundtable. We will welcome District 2 Director Marc Abla as he leads a discussion on the No Surprises Act. This discussion will better inform state association leaders regarding the new requirement so that we can all better equip our doctors to comply with the new mandates.Please register in advance for this meeting: https://us02web.zoom.us/meeting/register/tZwoc-ytqT4tGNSKBsySpq6erwp8xjk32VE8
Background
In an effort to ensure patients are better informed regarding the cost of their healthcare, Congress passed the
No Surprises Actwithin the Consolidated Appropriations Act of 2021. Initially, most experts believed that the
No Surprises Actapplied only to facility-based (such as a hospital) providers; however, on the recent finalization of Part II of the rules, it became clearer that a specific portion applies to all health care providers.The Good Faith Estimate portion of that act directly impacts all providers, including chiropractors.
Beginning on January 1, 2022, providers are required to inform certain patients that they are eligible to receive a Good Faith Estimate with an estimate for their specific anticipated care. As a part of the new requirement, providers will have to ask patients specific questions, provide a notice of the availability of a good faith estimate to self-pay patients, and provide a good faith estimate with required elements to those patients.
We will discuss:
- General applicability and why there was confusion,
- Which patients are entitled to Good Faith Estimates,
- Notification requirements,
- What Good Faith Estimates are and when they must be provided,
- Form requirements,
- How the new requirements may work in concert with existing state laws, and
- Attendee questions.