CMS Releases FAQs Regarding Good-Faith Estimate Requirements

Members & Publications


December 23, 2021

Beginning January 1, 2022, all providers and facilities are required to provide a good-faith estimate (GFE) to uninsured (or self-pay) individuals when scheduling a service or upon the individual’s request. The good-faith estimate must include expected charges for the scheduled service. This stems from the second interim final rule with comment (IFC) released on September 30th by the U.S. Department of Health and Human Services (HHS), the Department of Labor, and the Department of Treasury (“the Departments”), along with the Office of Personnel Management (for parts applicable to the Federal Employee Health Benefit Program (FEHBP) related to the implementation of the No Surprises Act to address surprise billing and implement additional patient protections. To assist providers and facilities navigating the good-faith estimate requirements, The Center for Medicare & Medicaid Services (CMS) has recently released a new set of FAQs prepared by the Department of Health and Human Services (HHS).

Click here for more information regarding surprise billing.  

Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.