In the News ...In the News ...
Diane B. Allen Equal Pay Act
Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: May 3, 2018, 6:25 am
The "Diane B. Allen Equal Pay Act," (S104) which takes effect July 1, modifies the Law Against Discrimination, (LAD), to strengthen protections against employment discrimination and promote equal pay for all groups protected from discrimination.
Effective July 2: CMS Reinstating QMB Identifier on RAs
Blog: In the News ... | Posted By: Amanda Shiber | Released: May 2, 2018, 10:33 am
Medicare will include Qualified Medicare Beneficiary (QMB) identification on remittance advice (RAs) again beginning 7/2/18. Read more. Due to a system issue, CMS had to suspend publication of this information. The issue has been resolved and Medicare Contractors have been advised to start including
Out of Network
Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: April 26, 2018, 12:59 pm
The "out-of-network" bill was passed by both houses. Please find a summary of the bill, which will likely be signed soon.
National Healthcare Decisions Week
Blog: In the News ... | Posted By: Marlene Mathew Kalayilparampil | Released: April 26, 2018, 12:58 pm
Last week was National Healthcare Decisions Week (April 16-22). The New Jersey Department of Health encourages residents to contemplate their healthcare preferences and plan ahead for end-of-life care decisions. The national theme for 2018 is "It Always Seems Too Early, Until It's Too Late."
NJ DOBI Independent Health Care Appeals Program for Prior Authorization Denials
Blog: In the News ... | Posted By: Amanda Shiber | Released: April 26, 2018, 6:44 am
The NJ Department of Banking & Insurance administers an external review program for prior authorization denials for procedures and prescriptions. Since 2014, physicians are required to post notice regarding the Independent Health Care Appeals Program (IHCAP) in their office.
IHCAP is available to
UHC, Oxford, Americhoice Fined $2.5 Million for Regulatory Violations
Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: April 5, 2018, 11:26 am
The Department of Banking & Insurance (DOBI) fined UnitedHealthcare (UHC), Oxford and Americhoice $2.5 million for regulatory violations, some of which MSNJ brought to DOBI’s attention based on our members’ complaints. In particular, we asserted that UHC could not require physicians to provide patie
Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: March 1, 2018, 7:50 am
Continue to encourage your patients to get vaccinated! The flu vaccine is 36% effective this season and has been most effective for young children, according to interim estimates the Centers for Disease Control and Prevention (CDC) released [February 15th]. “These early VE (vaccine effectiveness) es
2017 MIPS Claims Data Performance Scores Now Available on QPP Website
Blog: In the News ... | Posted By: Amanda Shiber | Released: February 15, 2018, 9:41 am
If you submitted quality data via claims for the 2017 reporting year, you may now view your performance scores at: https://qpp.cms.gov/login by using the data submission feature.
Submitting Quality Performance Data via Claims
If you’ve already submitted quality data via claims, you don’t have to t
New United Opioid Coverage Policy
Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: February 8, 2018, 12:35 pm
New to Therapy Short-Acting Opioid Supply and Daily Dose Limits for UnitedHealthcare Community Plan and UnitedHealthcare Commercial Plans – Effective March 1, 2018.
Beginning March 1, 2018, UnitedHealthcare Community Plan in some states and UnitedHealthcare commercial plans will implement a short-
State Adopts Rules on Health Claims Processing & Payment Act
Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: February 8, 2018, 11:55 am
The Department of Banking & Insurance adopted regulations implementing the Health Claims Authorization Processing & Payment Act (HCAPPA) which was passed in 2006. MSNJ filed comments joined by the NJ Association of Osteopathic Physicians & Surgeons, NJ Society of Interventional Pain Physicians, New