165.843 Ordering Lab and Radiology Tests
The Medical Society of the State of New York will make it known to the New York State Legislature and the NYS Department of Financial Services (DFS) that when out-of-network (OON) physicians order lab tests, diagnostic testing or radiology studies from in-network labs or radiology practices, those orders are often not approved by the plans or honored by the labs or radiology practices. In legislative proposals concerning out-of-network (OON) physicians’ payment problems with managed care plans (ie, proposals that enrollees should be allowed to assign payment to their OON physicians), MSSNY will support the inclusion of language requiring that OON physicians’ orders for lab tests, radiological services and diagnostic tests be approved by plans and honored by in-network labs and radiology practices. (HOD 2018-256)
