Скачать или смотреть The January 2022 Surprise of Good Faith Estimates Requirements

Curt and Katie chat about the No Surprises Act, specifically how to navigate the requirement for clinicians to provide Good Faith Estimates to clients. We talk about the impact of Good Faith Estimates on the intake process, potential complications when providing these estimates to your patients, and suggestions for how to simplify and systemize this requirement.
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In this episode of the Modern Therapist’s Survival Guide we talk about the No Surprises Act and the Good Faith Estimate Requirement
When we heard about the planned implementation of these new requirements, we decided to dive into the legislation and articles from professional associations to understand what we actually need to do starting January 1, 2022.
What is the No Surprises Act and the Good Faith Estimate (GFE) Requirement?
The goal of the No Surprises legislation is to avoid surprising patients with large medical bills
There are benefits and challenges with the requirement to provide good faith estimates to our clients
The Good Faith Estimate requirement is to provide the estimated cost of services (fee times number of sessions) at the beginning of treatment (if asked) and at least annually, if needed
How will the Good Faith Estimate Requirement impact the Intake Process for Therapy?
We are required to determine whether someone is hoping to get insurance reimbursement
We must communicate the ability to obtain a written good faith estimate from providers
We are required to estimate the number of sessions and total cost of treatment
We talk about when you may need to provide a new good faith estimate (and explain changes)
We provided a suggestion to start with a GFE for the intake session and then provide a second GFE after that initial session
Potential Complications Curt and Katie see for Therapists Providing Good Faith Estimates
The requirement for diagnosis very early in treatment
The requirement for a diagnosis written on paper – both for folks who don’t know or have not asked before, as well as for folks who do not want a written diagnosis
Concerns related to putting forward the total cost of therapy for the year
The elements of bureaucracy that could negatively impact the therapeutic relationship
The No Surprises Act legislation isn’t finalized and may have additional components or changes
Our Suggestions to Systematize the Good Faith Estimate (GFE) Requirement for Therapists
Consider coordinating the timeline for updating GFEs, treatment plans, frequency of sessions, progress in treatment, and a reassessment of the sliding scale
Think through how you talk about diagnosis and treatment planning ahead of time
The idea to create some sort of mechanism for folks to either decline a GFE or to request an oral versus paper GFE
Use recommended language to create your notice for your office as well as on your website
Create your own template to simplify the process, including a boiler plate GFE for your intake
Create a template for GFEs for on-going treatment

Our Generous Sponsor for this episode of the Modern Therapist’s Survival Guide:
Simplified SEO Consulting

Who we are:
Curt Widhalm, LMFT is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: http://www.curtwidhalm.com

Katie Vernoy, LMFT is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: http://www.katievernoy.com


A Quick Note:
Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We’re working on it.
Our guests are also only speaking for themselves and have their own opinions. We aren’t trying to take their voice, and no one speaks for us either. Mostly because they don’t want to, but hey.