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The Centers for Medicare & Medicaid Services (CMS) has issued frequently asked questions (FAQs) regarding good faith estimate (GFE) requirements for uninsured or self-pay individuals.
CMS will extend enforcement discretion, pending future rulemaking, for situations where GFEs for uninsured or self-pay individuals do not include expected charges from co-providers or co-facilities. Enforcement was previously set to begin on Jan. 1, 2023.
The FAQs also discuss the need for providers and facilities to adopt a standards-based application programming interface to achieve industry-wide interoperability for the transmission of GFE data. CHA continues to educate the agency on challenges this approach poses to providers.
CHA has a resource page to help members navigate the implementation of the No Surprises Act requirements.