On Jan. 1, 2022, the uninsured or self-pay good faith estimate (GFE) requirements, as part of the No Surprises Act, took effect. These new policies require that practices issue a GFE to an eligible patient either upon request or upon scheduling services. The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) released a final rule implementing these requirements less than three
months prior to the policies taking effect.
MGMA conducted a survey of member group practices, evaluating the impact the uninsured or self-pay good faith estimate (GFE) mandate had on practices during the first month of implementation.
Explore Related Content


Federal Policy Resource
GovChat Live: Uninsured and Self-Pay GFE webinar recording

Federal Policy Resource
Implementing the No Surprises Act

Federal Policy Resource
Analysis: Proposed 2022 Medicare Physician Payment and Quality Reporting Changes

Federal Policy Resource
MGMA 2018 Regulatory Burden Report

Federal Policy Resource
ACA Section 1557: What your practice needs to know

Federal Policy Resource
MGMA AUC Toolkit

Federal Policy Resource
MGMA Annual Regulatory Burden Report - 2019
More Federal Policy Resources

Federal Policy Resource
(Dec 2025) Understanding the Ambulatory Specialty Model

Federal Policy Resource
(Dec 2025) Work RVU Efficiency Adjustment

Federal Policy Resource
(Dec 2025) Practice Executive Watch List - Health IT

Federal Policy Resource
HHS Information Blocking and Enforcement: What Medical Groups Should Know Resource

Federal Policy Resource
(Dec 9, 2025) Recent Amendments to Medicare Provider Enrollment Regulations

Federal Policy Resource
Status of Medicare Telehealth Policy 2025

Federal Policy Resource
Unlocking The ACA Tax Credit Debate

Federal Policy Resource
Analysis: 2026 Medicare Physician Fee Schedule (PFS) Final Rule for Medical Practices

Federal Policy Resource
Update from CMS on the Federal Government Shutdown (October 16, 2025)

Federal Policy Resource
Medicaid Reform: Informing Your Decision-Making

Federal Policy Resource
Analysis: 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule

Federal Policy Resource
Analysis: One Big Beautiful Bill Act (OBBBA) Key Provisions for Medical Group Practices

Federal Policy Resource
Increased Immigration Enforcement: Implications for Medical Groups

Federal Policy Resource
Information Blocking Toolkit for Medical Groups

Federal Policy Resource
Analysis: 2025 Medicare Physician Fee Schedule Final Rule

Federal Policy Resource
FTC noncompetes final rule

Federal Policy Resource
Implementing the No Surprises Act

Federal Policy Resource
Analysis: Final 2024 Medicare Physician Payment and Quality Reporting Changes












