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    Classification: Announcements

    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

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    Vaccines
    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

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    Announcements

    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

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    Announcements

    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-

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    Announcements

    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

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    Announcements

    DOJ Seeks More Information on Proposed CVS-Aetna Merger
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: February 8, 2018, 11:36 am

    On February 1, the Department of Justice made a second request for information concerning CVS’s attempt to merge with Aetna to create an integrated health system. Those who attended MSNJ’s last Policy & Strategy Panel meeting heard potential anti-trust concerns from the AMA which is carefully analyz

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    Announcements

    Medicare Mammography Payment Issue
    Blog: In the News ... | Posted By: Amanda Shiber | Released: February 1, 2018, 7:46 am

    Practices that perform mammography are urged to review their Medicare claims dating back to October 1, 2017 to ensure proper payment. There was a system edit, causing the rejection of mammography claims using new, more specific ICD-10 codes. The edit has now been deactivated and these claims may be

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    Announcements

    Prior Authorization Progress
    Blog: In the News ... | Posted By: Amanda Shiber | Released: January 26, 2018, 11:58 am

    Federal

    MSNJ supported the AMA in its Prior Authorization and Utilization Management Reform Principles in early 2017. As a result of publication of these principles, a workgroup comprised of the AMA, the American Hospital Association, America's Health Insurance Plans, American Pharmacists Associati

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    Announcements

    Tiered Network Surveys
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: January 26, 2018, 11:48 am

    In anticipation of a Senate hearing on OMNIA, MSNJ has published new Tier 1 and Tier 2 surveys to collect information from our members to help inform our testimony before the Legislature. Members are encouraged to complete the appropriate survey for their OMNIA tier designation.

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    Announcements

    Rules Limiting Compensation from the Pharmaceutical Industry Adopted
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: January 23, 2018, 7:50 am

    Rules governing prescribers' acceptance of compensation from pharmaceutical manufacturers became effective on January 16, 2018, Governor Christie's last day of office. Even with improvements urged by MSNJ and adopted, the rules are the most restrictive in the nation. Together with other stakeholders

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    Announcements

    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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    Announcements

    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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    Announcements

    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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    Announcements

    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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    Announcements

    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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    Announcements

    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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    Announcements

    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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    Announcements

    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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    Announcements

    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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    Announcements

    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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