• These two documents should be given to all self-pay and uninsured clients as of January 1, 2022.
  • SAMPLE NOTICE OF AVAILABILITY OF GOOD FAITH ESTIMATE
  • SAMPLE GOOD FAITH ESTIMATE: Updated on Jan 4, 2021, this form was designed to meet the requirements of all therapists nationwide for the No Surprises Act.  This form is a hybrid of several provided by various professional associations, that I felt were more applicable to private practitioners and contained softer language than the forms provided by the federal government (CMS Center for Medicare and Medicaid Services/HHS Health and Human Services).
• Here’s the LINK TO MY ARTICLE ON THE NO SURPRISES ACT which tell you how to use these forms

Note: there is much conflicting advice out there, so it is likely that clarification will come in time, and I will need to update/alter these forms or give different advice.  Stay tuned to my newsletters and to your professional association for changes in everything I just published — they are certain to be coming!

This is a great time to update your documentation.  Check out my Practice Forms Packet, with 24 essential practice forms (including these forms) — find out more at my Store Page and click on the Forms Packet icon.

CHECK OUT MY OTHER HELPFUL RESOURCES, including:

• my pre-recorded webinars
  • “What’s Missing From Your Charts: Writing Great Progress Notes”
  • “How to Write a 10-Minute Treatment Plan”
  • “Telehealth Law and Ethics: AI, Apps, and Other Advances in Care”
  • “What Out-Of-Network Therapists Should Know About Billing”
  • “Audits and Records Requests: What EVERY Therapist Should Know”
  • “Are YOU Committing Insurance Fraud?”
  • “Couples Therapy: Billing, Documentation, and Ethical Dilemmas”
  • “What EVERY Therapist Should Know About Insurance — Even if You Want Nothing to Do With It”
  • “Show Me the Money: Understanding Insurance Rates, Raises, and Resigning”
• my book Navigating the Insurance Maze:  The Therapist’s Complete Guide to Working With Insurance
• my Billing Service List
• My note templates and form packets
• my articles page