No Surprises Act
On August 19, 2022, the U.S. Departments of Health and Human Services, Labor, and the Treasury (the
Departments) released final rules titled “Requirements Related to Surprise Billing: Final Rules.” These
rules finalize provisions related to Title I of Division BB of the Consolidated Appropriations Act, 2021,
also known as the No Surprises Act.
Beginning on January 1, 2022, all healthcare providers and facilities operating under the scope of a state-issued license or certification, must provide GFEs (Good Faith Estimates) of the total expected charges for planned services for new and existing clients who are either uninsured or not planning to send a claim to their insurance provider for the services that they are seeking (i.e. self-pay patients).
OFS Pittsburgh is required to notify uninsured and self-pay patients of their right to obtain a GFE at least 3 days in advance of their treatment assuming that it is scheduled with advanced notice.
You have the right to file a dispute regarding our office’s compliance with the No Surprises Act:
- You can initiate a Federal IDR request here: https://nsa-idr.cms.gov/paymentdisputes/s/
Visit CMS.gov/nosurprises, or call the Help Desk at 1-800-985-3059 for more information. TTY users can call 1-800-985-3059.