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Episode 162: Workgroup Voices, The Inner Workings of Prior Authorization

December 6, 2022

- HHS has extended enforcement discretion for the delivery of some good faith estimates (GFEs) under the No Surprises Act, according to new guidance.

The guidance released by HHS on Friday says that CMS will not begin enforcing the No Surprises Act requirement that healthcare providers deliver GFEs to uninsured and self-pay individuals when there are co-providers or co-facilities. Enforcement of the No Surprises Act requirement was slated to start on Jan. 1, 2023. Instead, HHS is holding off on enforcement until future rulemaking.

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