No Surprises Act: What does it mean for behavioral health?

The No Surprises Act is now in place and will expand over the next few months. In short, the No Surprises Act gives consumers an upfront explanation of their rights, an estimate of the cost of the medical service, and a process for appealing billing disputes for uninsured, self-pay and coming soon, in-network services.

CarePaths now supports both the Disclosure and Good Faith Estimate (GFE) as documents that can be sent to your patients’ portals and supported in our soon to be released CarePaths Connect mobile app for your patient.

Here’s what you need to do to stay in compliance.

• -Send a disclosure document to your patients informing them of their rights
• -Confirm your patients payment plans, insurance or self-pay
• -Send a Good Faith Estimate before upcoming sessions - one business day if the appointment is within the next three business days and within three days if the appointment occurs within ten business days.

We recommend reviewing:

https://www.cms.gov/files/document/nosurpriseactfactsheet-final508.pdf