On Jan. 1, 2022, the uninsured or self-pay good faith estimate (GFE) requirements, as part of the No Surprises Act, took effect. These new policies require that practices issue a GFE to an eligible patient either upon request or upon scheduling services. The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) released a final rule implementing these requirements less than three
months prior to the policies taking effect. 

MGMA conducted a survey of member group practices, evaluating the impact the uninsured or self-pay good faith estimate (GFE) mandate had on practices during the first month of implementation.

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