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    Classification: Announcements

    2017 National Doctor's Day: March 30
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: March 30, 2017, 5:06 am

    Happy Doctor’s Day to all of New Jersey’s hard-working and dedicated doctors.  Last year marked the 250th anniversary of the Medical Society of New Jersey (MSNJ), the nation’s oldest professional association. Founded in 1776, MSNJ has remained focused on promoting the betterment of the public health

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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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    ACA Market Stabilization Rule
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: April 13, 2017, 8:48 am

    CMS has agreed with comments filed by MSNJ and clarified in its recently finalized Market Stabilization Rule that if an individual pays outstanding premiums in order to avoid a gap in coverage the insurer must pay the outstanding medical claims that were filed during the unpaid period. Physicians ar

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    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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    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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    De Groote Award Nominations
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: January 6, 2017, 7:00 am

    MSNJ is accepting nominations for the De Groote Award which will be conferred at the MSNJ Inaugural Gala of the incoming 225th President, Dr. Christopher Gribbin, on May 13, 2017. The De Groote Award was established by resolution to honor the selfless work of Dr. Robert De Groote in service to the m

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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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    Drug Abuse Bill Signed
    Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: February 16, 2017, 1:04 pm

    The Assembly passed  AND THE GOVERNOR IMMEDIATELY SIGNED legislation that implements the Governor's plan to increase insurance coverage for addiction treatment (unlimited benefits with guaranteed coverage of medically necessary treatment for 6 months without prior authorization) and limit opioid pre

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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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    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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    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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    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 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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    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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    Horizon Site of Service Payment Policy Change effective December 1
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: December 1, 2016, 9:58 am

    MSNJ began evaluating the financial impact of Horizon’s announced payment policy change on site of service differentials when we learned of it in September. This included: conducting a survey of practices to determine if they were aware of Horizon’s policy; coordinating with the New Jersey Associati

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    Horizon Site of Service Payment Policy Change Lowers Physician Payments in ASCs effective December 1
    Blog: In the News ... | Posted By: Amanda Shiber | Released: November 8, 2016, 10:09 am

    On September 1, Horizon posted notice on its website regarding changes, effective December 1, to its reimbursement policy involving site of service differential for surgical CPT codes (10000 through 69999). Effective December 1, "any setting designated as a facility by CMS will be reimbursed [by Hor

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    Hospital Incentives for Physicians
    Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: March 30, 2017, 6:23 am

    Both houses have passed a bill to permit hospitals to implement plans to provide physicians with performance-based incentive payments to increase quality of care and reduce costs. The New Jersey Hospital Association promoted this bill and presented the idea to MSNJ for input. Though MSNJ had concern

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    Lead in Children
    Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: December 22, 2016, 11:13 am

    The full Legislature passed A.3411/S.1830.  This bill amends the State statutes related to childhood lead poisoning to require that Department of Health (DOH) regulations regarding testing for, and responses to, elevated blood lead levels in children be consistent with the most recent recommendation

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    Lifetime Achievement Award
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: January 6, 2017, 7:00 am

    MSNJ is accepting nominations for the Lifetime Achievement Award, which will be presented at the Inaugural Gala of the incoming 225th President, Dr. Christopher Gribbin, on May 13, 2017. Submit a short paragraph to info@msnj.org describing their commitment to the Medical Society.

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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 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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    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 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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    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 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 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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    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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    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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    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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    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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    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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    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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    Out of Network - Call to Action
    Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: October 27, 2016, 12:43 pm

    The Medical Society testified in opposition to the Out of Network legislation, which has cleared the Assembly Appropriations Committee. We continue to oppose caps of hospital-based out of network payments, even if done through dispute resolution, as those caps will depress all out of network and in

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    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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    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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    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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    Statement in opposition of the proposed PennEast Pipeline
    Blog: In the News ... | Posted By: ADMINISTRATOR | Released: May 17, 2017, 1:53 pm

    Submitted by: Christopher Gribbin, MD, 225th President of the Medical Society of New Jersey:

    “The Medical Society of New Jersey (MSNJ) overwhelmingly voted to oppose the proposed PennEast Pipeline at its annual meeting on Saturday May 6, 2017. The society’s House of Delegates adopted a resolution,

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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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    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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    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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