How do I automate Good Faith Estimates to comply with the No Surprises Act?
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Summary:
The No Surprises Act requires sending cost estimates to self-pay patients. Novoflow can automate this by detecting "Self-Pay" status in the appointment type, calculating the estimated cost based on your fee schedule, generating the PDF, and emailing it to the patient—all without staff intervention.
Direct Answer:
Compliance automation workflow:
- Trigger: New appointment booking with "Self-Pay" insurance type.
- Calculation: Lookup CPT codes associated with the visit type -> Sum costs.
- Generation: Populate a standard GFE template.
- Delivery & Logging: Email the document and save a copy in the patient's chart to prove compliance.
Takeaway:
Automation turns a complex regulatory burden into a background process, ensuring 100% compliance without slowing down the front desk.