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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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    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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    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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    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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    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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    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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    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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    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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    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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    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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    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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    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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    Non-Discrimination Posting Required by October 17
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: October 12, 2016, 6:46 am

    Section 1557 of the Affordable Care Act includes new non-discrimination provisions that apply to the healthcare community. The Office of Civil Rights (OCR) recently adopted rules that will apply to most physicians.  Most urgent, physicians who are covered by the rule must post a notice of non-discri

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    Report Reveals Increased Hospital Ownership of Physician Practices
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: September 20, 2016, 12:36 pm

    The Physicians Advocacy Institute (PAI), of which MSNJ is a founding member, released a new study "Physician Practice Acquisition Study:  National and Regional Employment Changes" on the rate of acquisitions of physician practices by hospitals and health systems between 2012 and 2015. The report sho

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    MACRA Relief Announced by CMS
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: September 9, 2016, 6:15 am

    Andrew Slavitt, Acting Administrator of the Centers for Medicare and Medicaid Services (CMS), announced in a blog posting  on September 8 that the agency would heed concerns expressed by the American Medical

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    Drug Abuse
    Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: August 11, 2016, 12:40 pm

    US Surgeon General, Vice Admiral Vivek H. Murthy, MD, MBA, is on a national tour to promote opioid abuse prevention and reduction strategies and came to New Jersey this week. All physicians are encouraged to visit turnthetiderx.org to learn more. Watch video coverage of his remarks during his vis

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    Medicaid FFS Provider Re-validation Required; Termination Effective July 1 for Non-Compliance
    Blog: In the News ... | Posted By: Amanda Shiber | Released: June 17, 2016, 10:28 am

    NJ Medicaid has been in the process of re-enrolling and re-validating physicians who participate in the NJ Medicaid Fee-for-Service (FFS) program, since July 2015. Under the Affordable Care Act, this process must be completed by September 2016. Physicians who have not responded to NJ Medicaid’s requ

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    MSNJ Announces Prescription Assistance Program for Patients
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: June 16, 2016, 2:11 pm

    Lawrenceville, NJ (June 6, 2016) – Patients who need help with the cost of prescription medications can now get a free prescription assistance card provided by the state’s largest association of physicians.

    The Medical Society of New Jersey (MSNJ) announced plans today to distribute the New Jersey

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    Captain Joseph P. Costabile, MD Installed as 224th President of the Medical Society of New Jersey
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: June 10, 2016, 10:38 am

    Lawrenceville, New Jersey – Captain Joseph P. Costabile, MD of Marlton, New Jersey was recently installed as the 224th president of the Medical Society of New Jersey (MSNJ) at its annual meeting in May. He has served as a member of MSNJ’s Board of Trustees since 2009, and will assume the presidency

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    CMS Face to Face Requirement Update
    Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: May 5, 2016, 1:12 pm

    As previously reported and discussed at last year's PSP, we have been working to reduce the administrative burden of this requirement for home health referrals. The NJ Hospital Association and National Government Services are hosting a webinar on Friday, May 20 at 2:30 p.m. that will focus on th

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    Take Our Horizon OMNIA Surveys!
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: March 8, 2016, 2:46 pm

    Physicians who have been assigned to Tier 2 by Horizon for its OMNIA plans are encouraged to take our surveys to help us assess the impact of these plans.


    Tell us about the impact OMNIA has had on your practice.
    Tell us about the impact of OMNIA on continuity of care and the physician-patient rel

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    Reference Committee Webinar, April 19
    Blog: In the News ... | Posted By: Sue Hoisington | Released: February 25, 2016, 1:20 pm

    Session I - HOD
    The first session of MSNJ HOD will convey on Tuesday, April 19 via Webinar/Conference call from 6-9 pm. Resolutions are due from the Counties by March 28. Register online.
     
    In preparation for MSNJ House of Delegates on Saturday, May 14, 2016, see the resolution writing sample. Ple

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    Physician Practice Based Services Less Costly than Hospital Outpatient Department
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: February 25, 2016, 11:39 am

    A new report by researchers at Avalere Health, released by the Physicians Advocacy Institute (PAI), finds that cardiac imaging services cost three times as much in a hospital outpatient department than in a physician’s office. The “Medicare Payment Differentials Across Outpatient Settings of Care” r

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    CMS Clarification on Meaningful Use Hardship Exemption
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: February 19, 2016, 2:26 pm

    CMS has issued FAQ #14357 clarifying that applying for a hardship exemption from the 2017 meaningful use payment penalty will not preclude physicians from receiving the incentive if they successfully attest to meaningful use in 2015.  In essence, the hardship exemption will act as a safety net. 

    [

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    Announcements

    Lifetime Achievement Award
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: February 18, 2016, 9:45 am

    MSNJ is accepting nominations for the Lifetime Achievement Award, which will be presented at the Inaugural Gala of the 224th President, Dr. Joseph Costabile on July 23, 2016. Submit a short paragraph to info@msnj.org describing their commitment to the Medical Society.

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    NJ Medicaid Increases Payments for Specific Preventative, Primary and Postpartum Care Codes
    Blog: In the News ... | Posted By: Amanda Shiber | Released: February 1, 2016, 12:58 pm

    MSNJ advocated for this increase, which was announced a year ago by Governor Christie and included in the 2016 State Budget appropriation for Medicaid. We applaud his commitment to our physicians, who receive among the lowest Medicaid rates in the nation. The Department of Human Services, Division o

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    MU Hardship Exception
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: January 22, 2016, 12:24 pm

    CMS releases information on MU Hardship Exception.

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    Zika Virus Disease
    Blog: In the News ... | Posted By: Melissa Zarzycki | Released: January 15, 2016, 9:30 am

    Read the Guidelines for Reporting, Testing and Preventing Infection in Travelers.

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    Insurance Coverage of Medications
    Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: January 14, 2016, 2:21 pm

    The Governor has signed a bill requiring health benefits coverage for synchronization of prescribed medications under certain circumstances. Under the new law, each payer regulated by the State, on at least one occasion per year for each covered person, must (1) apply a prorated daily cost-shari

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    MSNJ Member Testifies before ONC on Electronic Medical Records
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: January 11, 2016, 9:25 am

    Read the testimony of MSNJ member, Douglas Ashinsky, MD, a solo practitioner,  who was invited by ONC to provide comments on the value of an electronic medical records comparison tool. Dr. Ashinsky is an ONC Health IT Fellow and a NJ-HITEC Physician Vanguard. He urges ONC to concentrate its effor

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