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CMS Issues Updated No Surprises Act FAQs

For CEOs, CFOs, government relations executives, finance & reimbursement staff, legal counsel

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The Centers for Medicare & Medicaid Services (CMS) issued two new No Surprises Act FAQs this week.  

One, which is focused on the good faith estimate (GFE) for uninsured (self-pay) individuals, confirms that if a patient schedules a service fewer than three days in advance, the provider does not need to provide a GFE. These FAQs also address the scenario where the patient has insurance coverage and seeks to use it when the service is scheduled, but then is uninsured on the date of service.  

The second set of FAQs addresses a broad range of questions related to No Surprises Act requirements and implementation.