In the News ...In the News ...
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