265.000 REIMBURSEMENT

265.890           Medical Certification Paperwork:

265.890           Medical Certification Paperwork: MSSNY will study the issue of physician reimbursement for medical certification forms and advise physicians as to the ethical and legal options available in regard to this increasingly unwieldy, time-consuming issue for physicians.  Also, MSSNY is to address the issue of medical certification paper work with third party payers and strongly

By |2023-03-27T17:34:39+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.890           Medical Certification Paperwork:

265.901           New Federal Legislation re Prompt Payment and Amendment of New York State Prompt Payment Law:

265.901           New Federal Legislation re Prompt Payment and Amendment of New York State Prompt Payment Law: MSSNY will work with the American Medical Association for the introduction of federal legislation that imposes a strong federal standard for prompt payment, following the AMA’s recommendations which include: requiring payment within 30 days for clean paper claims and 14

By |2025-07-07T13:30:34+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.901           New Federal Legislation re Prompt Payment and Amendment of New York State Prompt Payment Law:

265.900           Non-Participating Physicians Who Accept Assignment: 

265.900           Non-Participating Physicians Who Accept Assignment:  MSSNY should seek to assure that legislation to protect the ability of a patient to assign payment to a non-participating treating physician also preserves the ability of such non-participating physician to be reimbursed their usual and customary fee.  (HOD 08-56; Reaffirmed HOD 2009-63; Reaffirmed HOD 2016-50)

By |2023-03-27T17:32:22+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.900           Non-Participating Physicians Who Accept Assignment: 

265.899           Payment for Procedures:

265.899           Payment for Procedures: MSSNY to seek legislation, regulation or other appropriate means to require health insurers to pay for any and all procedures clinically indicated pursuant to specialty society guidelines that are prudent and unanticipated at the time of performing pre-approved procedures.  (HOD 2008-57; Reaffirmed HOD 2018)

By |2023-03-27T17:32:10+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.899           Payment for Procedures:

265.898           Universal Explanation of Benefits (EOB):

265.898           Universal Explanation of Benefits (EOB): MSSNY will seek the enactment of legislation, regulation or other appropriate means to (1) require health plans to use a universal Explanation of Benefits (EOB) form for patients and physicians and (2) assure that such universal EOB form provide detailed, easily understandable explanations for patients and physicians as to

By |2023-03-27T17:31:57+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.898           Universal Explanation of Benefits (EOB):
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