Yearly Archives: 2023

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

120.886           Elimination of the Median in-Network Rate from Consideration at State Independent Dispute Resolution

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

By |2023-05-30T17:53:05+00:00May 30th, 2023|120.000 HEALTH INSURANCE COVERAGE|Comments Off on 120.886           Elimination of the Median in-Network Rate from Consideration at State Independent Dispute Resolution

120.885           Restore NYSHIP IDR venue back to State Level

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)

By |2023-05-30T17:52:46+00:00May 30th, 2023|120.000 HEALTH INSURANCE COVERAGE|Comments Off on 120.885           Restore NYSHIP IDR venue back to State Level

120.884           Prior Authorization – 24-Hour Maximum

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)

By |2023-05-30T17:52:30+00:00May 30th, 2023|120.000 HEALTH INSURANCE COVERAGE|Comments Off on 120.884           Prior Authorization – 24-Hour Maximum

120.883        Outsourcing of Administrative and Clinical Work to Different Time Zones – An Issue of Equity, Diversity, and Inclusion

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

By |2023-05-30T17:52:10+00:00May 30th, 2023|120.000 HEALTH INSURANCE COVERAGE|Comments Off on 120.883        Outsourcing of Administrative and Clinical Work to Different Time Zones – An Issue of Equity, Diversity, and Inclusion

117.957           Support of Legalized Interstate Telemedical Care

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)

By |2023-05-30T17:50:51+00:00May 30th, 2023|117.000 HEALTH INFORMATION TECHNOLOGY|Comments Off on 117.957           Support of Legalized Interstate Telemedical Care

117.956        Appropriate Compensation for Non-Visit Care (Remote or Care of Coordination)

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

By |2023-05-30T17:50:33+00:00May 30th, 2023|117.000 HEALTH INFORMATION TECHNOLOGY|Comments Off on 117.956        Appropriate Compensation for Non-Visit Care (Remote or Care of Coordination)

115.979           Scope of Practice for Hyperbaric Oxygen Therapy

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

By |2023-05-30T17:49:21+00:00May 30th, 2023|115.000 HEALTH CARE PROFESSIONALS/PROVIDERS|Comments Off on 115.979           Scope of Practice for Hyperbaric Oxygen Therapy

95.966          Public Funding of State and National Elections for the Public Health and Good

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

By |2023-05-30T17:46:29+00:00May 30th, 2023|95.000 ETHICS|Comments Off on 95.966          Public Funding of State and National Elections for the Public Health and Good
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