Now that the No Surprises Act is fully enacted, here’s a low down on what physicians should know.
Under the patient-provider dispute resolution (PPDR) process, the uninsured (or self-pay) individual may seek a determination from a Selected Dispute Resolution (SDR) entity for the amount the individual has to pay.
Know the methods for providing Good Faith Estimates – A good faith estimate must be provided and written using clear and understandable language.
The good faith estimate (GFE) is a notification that outlines an uninsured (or self-pay) individual’s expected charges for a scheduled or requested item or service. Providers and facilities must follow certain timeframes for providing good faith estimates.
Providers and facilities are required to give good faith estimate to an uninsured (or self-pay) individual. Here we list down the content requirements of a good faith estimate issued to an uninsured (or self-pay) individual.
Here is everything that you need to know about the new “Good Faith Estimates” Regulation under the No Surprises Act
As administrative burden has increased due to claims processing, narrow networks, and authorizations –it is important for providers to think differently to improve performance while reducing costs and complexity. Often this means leveraging technologies and analytics, as well as improving operations and with this, a transition to a new RCM partner. The change to a