Following the implementation of the No Surprises Act on January 1, 2022, many psychologists have expressed confusion and concern regarding the requirement to provide uninsured and self-pay patients with a good faith estimate (GFE) of the predicted cost of services.
The GFE requirement under the No Surprises Act aims to give patients and consumers a clear sense of what upcoming health care services will cost.
We’ve heard members’ concerns and have provided the following compliance resources:
- Clarified and updated guidance on compliance and enforcement
- FAQs to address some common questions
- An updated list of basic steps you can take to start complying now, with additional details clarifying that psychologists do not have to provide a GFE to patients who have but do not intend to use federal health insurance (such as Medicare and Medicaid).
- Resources to help with your compliance: A revised simple GFE form (DOCX, 26KB). This revised form will help explain to patients that they can only initiate the dispute resolution process if your billing submitted to them is $400 more than the most recent GFE. We also provide an Excel spreadsheet (XLSX, 13KB) for making sure that your billing does not substantially exceed your GFEs
- APA’s advocacy direction on this issue