It should come as no surprise that the federal government has decided to delay enforcement of the No Surprises Act. So although the Act will still take effect on January 1, 2022, the government will not enforce certain provisions of the law until applicable rules are in place. This will hopefully allow the providers, and the government, time to figure out the best way to comply with the law.
The most difficult provision of the No Surprises Act will likely be the “good faith estimate” requirement. Under the law, when an individual provider or facility schedules a patient for services, they will be required to gather information about the patient’s payor status. If the patient has insurance, the provider/facility must send a good faith estimate of the expected charges, billing and diagnostic codes to the insurer. If the patient is uninsured, that information must be given to the patient.Continue reading