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    In the News ...

    New Jersey Physicians Boost the State’s Economy, Generating 281,923 Jobs
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: January 11, 2018, 8:16 am

    New Jersey Physicians Boost the State’s Economy, Generating 281,923 Jobs

    New study demonstrates that physicians drive $55.4 billion in economic activity

    Lawrenceville, NJ – Physicians add opportunity, growth and prosperity to the New Jersey economy by creating 281,923 jobs and generating $55.4 bil

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    Connecting for Better Care with New Statewide Health Information Exchange
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: December 4, 2017, 10:14 am

    The Medical Society of New Jersey (MSNJ) announces the launch of OneHealth New Jersey, a statewide health information exchange (HIE) that is now live. OneHealth New Jersey encompasses an interoperable health information exchange, as well as a patient health portal, extensive data analytics tools, an

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    NEW BENEFIT: MIPSwizard
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: November 15, 2017, 8:41 am

    Up to 4% of your Medicare Payments are At Risk—Are You Ready?

    Satisfy your MIPS Requirements with MIPSwizard

    The #1 Registry for Quality Measures reporting to CMS

    MIPSwizard is an easy to use online tool to help eligible clinicians quickly and easily participate in the Merit-based Incentive Payme

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    Call for Nominations
    Blog: In the News ... | Posted By: Sue Hoisington | Released: November 9, 2017, 2:10 pm

    We are accepting applications from interested candidates for positions on the Board of Trustees, AMA Delegation, Judicial Council and various committees. Please review the MSNJ Open Positions for 2018 and read a brief synopsis of the committees and expectations. Your involvement is key to the Succes

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    Due December 31: MIPS Annual Security Risk Analysis
    Blog: In the News ... | Posted By: Amanda Shiber | Released: November 9, 2017, 2:10 pm

    Security Risk Analysis is a required measure under the Advancing Care Information Category for 2017 MIPS reporting. If you plan to report data for this category, you must complete your analysis by December 31. For more information, please see Quality Insights' webinar slides; recording; or transcrip

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    MSNJ Weighs-in on PIP, EOBs, In-plan Exceptions & IURO Rules
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: November 9, 2017, 2:08 pm

    PIP: MSNJ filed comments on a pre-proposed rule that would link certain PIP fees to Medicare. We have long advocated against the use of Medicare to set fees. This is particularly true for PIP since the statute sets the standard at 75% of reasonable and prevailing fees in the region. 

    EOBs: MSNJ has

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    New Narrow Network Horizon Medicare Advantage Product
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: November 2, 2017, 9:58 am

    Horizon announced this week that it will offer a new Medicare Advantage product during open enrollment for the 2018 plan year.  Horizon has chosen select providers from its Managed Care Network to participate in the Medicare Blue Advantage HMO plan. Letters were mailed last week to participating and

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    Horizon BCBS News & Legal Notices
    Blog: In the News ... | Posted By: Amanda Shiber | Released: November 2, 2017, 9:48 am

    Horizon BCBS requires providers to visit its website or NaviNet in order to review communications regarding material adverse policy changes. We have asked Horizon to provide MSNJ notice of these changes, so that we can inform our members. As a service to MSNJ members, we will post these changes, as

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    Sign-Up for Payer Notices to Stay up to date on Policy Changes
    Blog: In the News ... | Posted By: Amanda Shiber | Released: November 2, 2017, 9:40 am

    Members are urged to sign up for payer notices, in order to stay up to date on policy changes that could impact your practice. While MSNJ reviews payer policies and works with the state and national specialty societies on potential issues, it is important that practices also stay informed and tell u

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    Write To Your Legislators To Repeal the Flawed IPAB!
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: October 30, 2017, 12:12 pm

    Legislation to repeal the Independent Payment Advisory Board (IPAB) is moving on Capitol Hill, but Congress needs to hear from America's physicians in order to push it over the finish line. Please urge your legislators to support H.R. 849 to repeal the arbitrary and flawed IPAB by calling AMA’s toll

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    PreCheck MyScript: New Online Drug Prescribing Solution for UnitedHealthcare Commercial, Medicare and Medicaid Benefit Plans
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: October 12, 2017, 7:22 am

    By Dr. Marilyn Gordon, Medical Director, UnitedHealthcare of New Jersey

    As physicians, we know you spend several hours each week on prior authorization requests, especially

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    UPDATE: UHC Delays Consult Code Policy
    Blog: In the News ... | Posted By: Amanda Shiber | Released: September 22, 2017, 12:24 pm

    In July, MSNJ was joined by 36 medical and specialty societies in a letter to United Healthcare (UHC) opposing its proposed policy change to no longer pay for consultation CPT codes 99241-99245 and 99251-99255 for dates of service on and after October 1. This week, UHC advised MSNJ that it will dela

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    Medical Society of New Jersey to Partner with KaMMCO Health Solutions for Statewide Interoperability and Analytics Tools
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: September 14, 2017, 11:02 am

    LAWRENCEVILLE, NJ, Sept. 14, 2017: Physicians and health care professionals nationwide are in the midst of unparalleled industry transformation. Successful adoption of the new performance- based delivery and payment models will rely heavily upon interoperability and development of actionable intelli

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    MSNJ Implores HHS to Reduce Regulatory Burdens on Physicians
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: August 17, 2017, 5:59 am

    Physicians Advocacy Institute (PAI), of which MSNJ is a founding member, seeks the assistance of Secretary Tom Price to reduce the regulatory burdens on physicians and alleviate administrative expenses in a 12 point advocacy document to the US Department of Health & Human Services. First, and foremo

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    MSNJ Weighs-in on Insurer Transparency & Accountability
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: August 3, 2017, 7:47 am

    MSNJ has long advocated for more meaningful explanation of benefits (EOBs) and description of appeal rights for patients. We believe that EOBs on out-of-network bills are purposefully misleading. We have also advocated that insurers be required to pay the fees they agree upon with out-of-network pro

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    MSNJ Supports Self-Critical Analysis Privilege
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: July 28, 2017, 6:10 am

    MSNJ and the AMA joined together to file an amicus brief with the New Jersey Supreme Court urging it to find the self-critical analysis privilege in the Patient Safety Act (PSA) to be absolute. The PSA allows physicians in a hospital setting to engage in candid discussions about circumstances giving

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    NJ Supreme Court Sides with Tier 2 Hospitals on Discovery of OMNIA Documents
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: July 28, 2017, 6:10 am

    The New Jersey Supreme Court has agreed with two separate trial courts that:

    discovery geared toward unmasking Horizon's methodology and particular determinations during the [tier] selection process, as well as other information illuminative of Horizon's acts and intentions, was relevant to plainti

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    Due August 7: UnitedHealthcare Premium Designation Reconsideration Requests
    Blog: In the News ... | Posted By: Amanda Shiber | Released: July 28, 2017, 6:08 am

    UHC participating physicians should have received their Premium Designation Program assessment letters, which were mailed the week of July 6. Physicians are urged to review their assessment reports and to request a reconsideration of their designation, if they disagree with UHC's determination, by A

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    DOBI Issues Three Rule Amendments to Increase Insurer Transparency & Accountability
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: July 28, 2017, 6:07 am

    The NJ Department of Banking & Insurance has issued three rule amendments addressing topics on which MSNJ has steadfastly advocated. The topics are:


    Explanation of benefits;
    In-plan exceptions; and
    Unfair claims settlement practices.

    The rule amendments were issued under Governor Christie's Exec

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    MSNJ Urges UHC to Continue to Honor Consult Codes
    Blog: In the News ... | Posted By: Amanda Shiber | Released: July 28, 2017, 6:07 am

    MSNJ was joined by 36 medical and specialty societies in a letter to United Healthcare (UHC) opposing its proposed policy change to no longer pay for consultation CPT codes 99241-99245 and 99251-99255 for dates of service on and after October 1. UHC is aligning their policy with CMS, which stopped r

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