Monthly Archives: May 2023

175.960           Fair Reimbursement for Obstetrical Surveillance and Care

175.960           Fair Reimbursement for Obstetrical Surveillance and Care MSSNY will advocate for a significant increase in the Medicaid physician payment for patient care for labor and delivery, which accounts for the significant increase in office overhead costs since the last time such fees were established. (HOD 2023 - Late E)

By |2023-05-30T18:09:11+00:00May 30th, 2023|175.000 MEDICAID|Comments Off on 175.960           Fair Reimbursement for Obstetrical Surveillance and Care

175.959           NYS Medicaid Coverage of Treatments for Severe Obesity

175.959           NYS Medicaid Coverage of Treatments for Severe Obesity The Medical Society of the State of New York supports legislation that would require NYS Medicaid to pay for FDA-approved anti-obesity medications in adults with class 3 obesity when prescribed by practitioners. (HOD 2023-251)

By |2023-05-30T18:08:45+00:00May 30th, 2023|175.000 MEDICAID|Comments Off on 175.959           NYS Medicaid Coverage of Treatments for Severe Obesity

165.837                       Timely Claim Filing Limit & Insurance Company Audit Time Limit

165.837                       Timely Claim Filing Limit & Insurance Company Audit Time Limit MSSNY will work to seek legislative and regulatory changes to establish a timely filing limit of 366 days from date of service. (HOD 2023-258)

By |2023-05-30T18:03:08+00:00May 30th, 2023|165.000 MANAGED CARE|Comments Off on 165.837                       Timely Claim Filing Limit & Insurance Company Audit Time Limit

160.957        Revitalization of Task Force on Life and the Law

160.957        Revitalization of Task Force on Life and the Law The Medical Society of the State of New York advocates for the New York State Department of Health Task Force on Life and the Law to be revitalized and restored such that it develops and updates expert guidance on bioethical matters effecting delivery of patient

By |2023-05-30T18:02:30+00:00May 30th, 2023|160.000 LICENSURE|Comments Off on 160.957        Revitalization of Task Force on Life and the Law

150.957        NY Corporate Compliance Consolidation

150.957        NY Corporate Compliance Consolidation MSSNY shall work with the NY DOH, NY Hospital Association, and other stakeholders to create a statewide minimum standard curriculum for corporate compliance education requirements, the completion of which is acceptable to all stakeholders. MSSNY shall advocate for satisfactory completion of the new NY state approved standard corporate compliance

By |2023-05-30T18:01:14+00:00May 30th, 2023|150.000 HOSPITALS|Comments Off on 150.957        NY Corporate Compliance Consolidation

150.956        Medical Staff Credentialing for Physicians 

150.956        Medical Staff Credentialing for Physicians  The Medical Society of the State of New York will advocate to the New York State Department of Health to revise existing regulations that would enable a three-year interval for the re-credentialing of health care professionals at hospitals instead of the current two-year interval. (HOD 2023-56)

By |2023-05-30T18:00:43+00:00May 30th, 2023|150.000 HOSPITALS|Comments Off on 150.956        Medical Staff Credentialing for Physicians 

145.992        Expanding Protections of End-Of-Life Care  

145.992        Expanding Protections of End-Of-Life Care   The Medical Society of the State of New York: (1) recognizes that healthcare, including end of life care like hospice, is a human right. (2) supports the education of medical students, residents and physicians about the need for physicians who provide end of life healthcare services. (3) supports the

By |2023-05-30T17:59:30+00:00May 30th, 2023|145.000 HOSPICE AND PALLIATIVE CARE|Comments Off on 145.992        Expanding Protections of End-Of-Life Care  

130.925        Managing Conflict of Interest Inherent in New Payment Models Patient Disclosure

130.925        Managing Conflict of Interest Inherent in New Payment Models Patient Disclosure The Medical Society of the State of New York will seek legislation requiring complete disclosure of potential conflicts of interest by: All insurance plans: Medicare (Medicare Advantage), Medicaid, and commercial insurers. Employers of physicians (ex., Accountable Care Organizations in the Medicare Shared Savings

By |2023-05-30T17:57:45+00:00May 30th, 2023|130.000 HEALTH SYSTEM REFORM|Comments Off on 130.925        Managing Conflict of Interest Inherent in New Payment Models Patient Disclosure

130.924        Union

130.924        Union MSSNY will support the establishment of unions for its employed member physicians. With the establishment of a physicians-based union, MSSNY will form a strong bond with that union to better advocate for the needs of its physician members and their ability to provide the best care to their patients. (HOD 2023-130)

By |2023-05-30T17:56:43+00:00May 30th, 2023|130.000 HEALTH SYSTEM REFORM|Comments Off on 130.924        Union

120.887           Advocating for a Prompt and Fair Federal IDR Process for Out-of-Network Disputes

120.887           Advocating for a Prompt and Fair Federal IDR Process for Out-of-Network Disputes MSSNY will advocate, and ask the AMA to advocate for, a prompt and fair federal IDR process that includes: (1) timely processing of claims; (2) directions to the IDR entity that no one data point is deemed in advance to be more

By |2023-05-30T17:54:41+00:00May 30th, 2023|120.000 HEALTH INSURANCE COVERAGE|Comments Off on 120.887           Advocating for a Prompt and Fair Federal IDR Process for Out-of-Network Disputes
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