Good Faith Estimate Compliance On-demand Webinar
The No Surprises Act requires all providers (including “cash practices”) to give a “Good Faith Estimate” (or “GFE”) verbally and in writing to all uninsured and self-pay patients upon scheduling or upon request. The regulations require GFEs to include certain information and set specific time limits to provide them. A dispute resolution process may be required if your charges exceed your GFE. Providers are required to comply on Jan. 1, 2022, so it is important to get your policies and procedures in place ASAP! Knowledge of the GFE rule is essential to avoid enforcement action or costly dispute resolution.
This webinar will teach you what you need to know to comply and will provide template policies, procedures and Good Faith Estimate forms that are customized for cash and small private practices.
What you will learn:
- How to comply with Good Faith Estimate (“GFE”) regulations and avoid enforcement action
- What patients are entitled to get a GFE?
- What services might not require a GFE?
- What timelines must be followed when providing a GFE?
- What information must be provided in a Good Faith Estimate?
- What to do if you don’t have all the information the regulation requires (such as a diagnosis code) at the time the GFE must be provided?
- When are you required to issue a new GFE?
- What disclaimers are required on the GFE and how to customize those disclaimers for cash practices and out of network services?
- What form (verbal, written or both) and delivery method is required for your GFE?
- What to do if you need to change your GFE before or after treatment has started?
- What cost information must or should be on your website?
- How to avoid payment disputes that result in dispute resolution processes?
- What the penalties are for non-compliance and when to expect HHS to start enforcing the regulations?
Resources provided with webinar:
- An easy-to-use template form for your written Good Faith Estimates
- A written policy for you and your staff to follow to ensure compliance
- Website and office templates for the required notices
- FAQs we’ve received from attendees (Coming soon!)
Intended Audience: All private practice health care providers – whether you are in or out of network with health plans – including but not limited to physical, occupational and speech therapists, chiropractors and acupuncturists.
About the Speaker: Gwen Simons, Esq, PT, OCS, FAAOMPT is a lawyer at Simons & Associates Law, P.A. in Scarborough, Maine. She serves as legal counsel o to a large number of private practitioners in Maine and has provided consultation to about 600 cash practices throughout the country on general business start-up, management and development, HIPAA and Medicare compliance, and intellectual property protection. She understands the budget limitations small providers have and works hard to provide cost-effective compliance solutions that are affordable. Prior to practicing law, Gwen was a physical therapist in private practice in Louisville, KY. She still does expert witness work as a PT through her husband’s PT practice in Maine, making her incredibly knowledgeable of the challenges private practitioners face! In her advocacy work, Gwen serves as the lobbyist for the Maine Chapter, APTA and is the recipient of the Maine Chiropractic Association’s 2021 Reva Rolnick Award.
Ready to Register?
MEMBERS of the Simons & Associates Cash Practice or Practice Management Network program are entitled to the Member Discounted Rate on the Registration Fee drop down menu. If you are not a member or your membership has expired, you can renew your membership here. Your membership status will be verified after you register.