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    In the News ...

    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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    MSNJ Congratulates Dr. Donald Chervenak on Receiving the 2017 De Groote Award
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: July 24, 2017, 10:14 am

    This year’s De Groote Award was presented to MSNJ Board Member, Dr. Donald Chervenak at the Inaugural Gala on Saturday, May 13. The De Groote Award was established by resolution to honor the selfless work of Dr. Robert De Groote in service to the medical profession. Read Dr. Chervenak’s acceptance s

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    UPDATE Effective August 1: AmeriHealth Will Pay E&M Services Appended with Modifier 25 at 50% in Some Instances
    Blog: In the News ... | Posted By: Amanda Shiber | Released: July 21, 2017, 8:15 am

    Beginning August 1, AmeriHealth plans to change its payment policy to now pay evaluation and management (E&M) codes appended with modifier 25 at 50% when they are submitted for the same date of service by the same provider as a minor procedure or when they are submitted for the same date of service

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    Resolutions Due - August 15, 2017
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: July 21, 2017, 8:13 am

    Revolving Reference Committee - Thursday, August 31 at 7:00pm

    The next Revolving Reference Committee meeting is Thursday, August 31 at 7:00 pm. All resolutions need to be vetted by the County Medical Society prior to submission to MSNJ. Resolutions are due from the County Medical Societies by Augus

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    EMS
    Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: July 6, 2017, 7:35 am

    The Legislature passed S.5, which establishes certain reporting requirements for emergency medical services (EMS) providers and EMS dispatch centers.
     
    Each EMS provider that provides pre-hospital emergency medical care to patients in the State will be required to report to the Department of Health

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    Horizon Oversight
    Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: July 6, 2017, 7:31 am

    The Governor signed S.2, which clarifies the role of health service corporations; requires timely publication of certain information by DOBI; regulates surplus; and adds two public members to the board of directors. After days of negotiation, the new law refrains from “raiding” surpluses for addicti

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    Current International Ransomware Campaign
    Blog: In the News ... | Posted By: ADMINISTRATOR | Released: June 29, 2017, 6:58 am

    The U.S. government is aware of an international ransomware campaign that may be affecting Healthcare and Public Health Sector assets in addition to other Sectors. Please review the information below and share with colleagues. We will update you as more information becomes available.

    HHS/ASPR Criti

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    Help and Training

    New video shows physicians how to avoid Medicare payment penalties
    Blog: In the News ... | Posted By: ADMINISTRATOR | Released: June 22, 2017, 5:56 am

    The Quality Payment Program (QPP) is the new physician payment system created by the Medicare Access and CHIP Reauthorization Act (MACRA) and is administered by the Centers for Medicare and Medicaid Services (CMS). Because the QPP is new this year, the Medical Society of New Jersey and the AMA want

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    New Legal Group for NJ Healthcare Providers
    Blog: In the News ... | Posted By: ADMINISTRATOR | Released: June 8, 2017, 8:29 am

    Attorneys Kern, Beades and Giaquinto have all joined Frier & Levitt, LLC's regulatory practice group.  Physicians, providers and practice managers with questions or concerns related to licensing actions, payer disputes, governmental inquiries and investigations, or any civil, criminal or regulatory

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    Effective July 1: CMS Will Require NJ Physicians to Report Post-Op Visits
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: June 8, 2017, 8:20 am

    Starting on July 1, 2017 healthcare providers in several states, including New Jersey, will be required to submit claims data, using CPT Code 99024, for post-operative visits which take place during the global period of certain surgical procedures. Healthcare providers in groups with less than 10 pr

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    A Message from the President of MSNJ
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: May 19, 2017, 1:25 pm

    Greetings,

    My name is Chris Gribbin. I am an interventional radiologist with University Radiology, a group of more than 140 radiologists.  It was my honor and privilege to be inaugurated as the Medical Society of New Jersey's 225th President on May 6, 2017. I was accompanied by my wife, Dorota Grib

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