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    In the News ...

    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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