120.886 Elimination of the Median in-Network Rate from Consideration at State Independent Dispute Resolution MSSNY will advocate for (1) absolute clarity in how the median in-network rate is being calculated; (2) a requirement that insurers provide the median in-network rate in their EOBs to out-of-network providers if they wish to use this rate as a
120.885 Restore NYSHIP IDR venue back to State Level MSSNY will continue to advocate that out of network surprise medical bills resulting from care provided to patients insured by the New York State Health Insurance Plan (NYSHIP) should be adjudicated by the New York State Independent Dispute Resolution process. (HOD 2023-54)
120.884 Prior Authorization – 24-Hour Maximum MSSNY will advocate that all prior authorization requests and appeals of PA denials be resolved in accordance with the existing requirements for expedited decisions of 72 hours for non-urgent care and 24 hours for emergency care. (HOD 2023-105)
120.883 Outsourcing of Administrative and Clinical Work to Different Time Zones – An Issue of Equity, Diversity, and Inclusion The Medical Society of the State of New York (MSSNY) will advocate that health plans that outsource their customer service facing operations to foreign countries in time zones separated by more than 4 hours from the
117.957 Support of Legalized Interstate Telemedical Care The MSSNY Council will study the professional consequences of providing telehealth services across state lines including medical malpractice insurance, disciplinary issues, physician licensing, prescribing rights, among others as determined by Council. (HOD 2023-100)
117.956 Appropriate Compensation for Non-Visit Care (Remote or Care of Coordination) MSSNY will create a policy stating that payors should compensate physicians for asynchronous (outside the day of a patient visit) non-visit or remote care, such phone calls, electronic messaging, and review of laboratory data. MSSNY will advocate for expansion of CPT codes 99441-99445 into
115.979 Scope of Practice for Hyperbaric Oxygen Therapy MSSNY will seek through legislation and/or regulation a requirement that all staff performing hyperbaric therapy are appropriately trained and adhere to all applicable federal, state, and local safety regulations. MSSNY will also seek through legislation and/or regulation that all chambers employed in the delivery of hyperbaric oxygen
95.966 Public Funding of State and National Elections for the Public Health and Good MSSNY will advocate for public funding for state legislators’ campaigns, to allow small citizen contributions to be made and be tripled by government funding, to limit campaign spending to get public funding, to identify funding sources for all public information related
87.990 Preserve the Role of the Regional Emergency Medical Advisory Committees Throughout New York State The Medical Society of the State of New York will work with state legislators to develop and promote regulation and/or legislation that preserves the roles of the State Emergency Medical Services Council (SEMSCO) and the Regional Emergency Medical Services Councils
85.942 Offshore Medical Schools and Title IV Funding The Medical Society of the State of New York (MSSNY) will urge the American Medical Association (AMA) to work with the American Osteopathic Association (AOA) and other interested stakeholders to advocate for congressional oversight of the misuse of Title IV funding by for–profit offshore medical schools (which
