Complying With The Good Faith Estimate Requirement in 2027

Complying With The Good Faith Estimate Requirement in 2027 is organized by Gawenda Seminars & Consulting, Inc. and will be held on Dec 10, 2026.

Description:
On July 13, 2021, 4 Agencies, including the Centers for Medicare and Medicaid Services (CMS), Department of Health and Human Services published an interim final rule titled Requirements Related to Surprise Billing; Part 1 in the Federal Register. On October 7, 2021, 4 Agencies, including CMS published an interim final rule titled Requirements Related to Surprise Billing; Part 2 in the Federal Register. This webinar will teach participants what they need to know regarding Part 149 – Surprise Billing and Transparency Requirements, Subpart G – Protection of Uninsured or Self-Pay Individuals of the No Surprises Act that went into effect on January 1, 2022. Subpart G – Protection of Uninsured or Self-Pay Individuals, does apply to outpatient physical, occupational and speech therapy services provided in all outpatient therapy settings, including private practices and does include cash-based therapy practices as well as out-of-network providers. Essentially, if you provide outpatient physical, occupational and/or speech therapy services, this Good Faith Estimate requirement applies to you.

This 1.5 hour online course will teach participants the following regarding the Good Faith Estimate (GFE):

• To which insurance carriers and patients does the GFE apply to
• Who is an uninsured or self-pay patient
• What are the required elements of a GFE
• What is the timeframe that a GFE must be provided to the patient
• How can a GFE be delivered to a patient
• What information must be posted on your website and in your clinic regarding the GFE and
• When can a patient initiate the patient-provider dispute resolution process.

Objectives:
At the conclusion of this webinar presentation, participants will be able to:

1. Identify who the Good Faith Estimate requirement applies to
2. Understand the various definitions associated with § 149.610 Requirements for provision of good faith estimates of expected charges for uninsured (or self-pay) individuals
3. Define who is an uninsured or self-pay individual
4. Explain what must be posted on your website and in your office regarding the Good Faith Estimate
5. Discuss the timeframes in which a Good Faith Estimate must be provided to an individual
6. List the content requirements of what must be included in a Good Faith Estimate
7. Recall where the availability of a Good Faith Estimate must be posted on your website and in your clinic/facility
8. Understand the requirements for a Good Faith Estimate for recurring outpatient therapy services
9. Express how a Good Faith Estimate can be delivered to an uninsured/self-pay individual
10. Recite how close the actual patient payment must be when compared to the Good Faith Estimate of expected charges