265.000 REIMBURSEMENT

265.977           Pre-authorization/Certification Binding Primary and Secondary Payers:

265.977           Pre-authorization/Certification Binding Primary and Secondary Payers: MSSNY will initiate legislative or regulatory efforts to enable the pre-certification of the primary insurance company to be binding on all secondary payers regardless of whether Coordination of Benefits or other supplementary medigap-type coverage is involved.  If there is no Pre-Certification required by primary insurers, then secondary payers

By |2023-03-27T18:01:18+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.977           Pre-authorization/Certification Binding Primary and Secondary Payers:

265.976           Cost of Living Increases to Physician:

265.976           Cost of Living Increases to Physician: MSSNY will seek the introduction of appropriate state legislation calling for the levels of physician payments by public and private health insurers to be annually adjusted with a cost of living increase tied to the Department of Labor cost of living index, with this increase remaining independent of

By |2024-07-23T18:40:29+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.976           Cost of Living Increases to Physician:

265.975           Inappropriate Usage Of Correct Coding Initiative and HBOC Software By Medicare:

265.975           Inappropriate Usage Of Correct Coding Initiative and HBOC Software By Medicare: MSSNY will oppose the reduction of payment for medical services under Medicare without notice or the publication of regulations, including the continuing expansion of the Correct Coding Initiative (CCI) in concert with the “Black Box” edits produced by HBOC Software.  MSSNY will communicate its

By |2025-07-07T13:45:55+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.975           Inappropriate Usage Of Correct Coding Initiative and HBOC Software By Medicare:

265.973           Physician Responsibility for County Nursing Service:

265.973           Physician Responsibility for County Nursing Service: MSSNY will seek federal and state legislative or regulatory relief requiring Medicare and other insurers based in this state to hold Nursing Service Agencies responsible for their billing practices and for the care decisions they make that either deviate from physician instructions, are devoid of related physician input,

By |2024-07-23T18:40:33+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.973           Physician Responsibility for County Nursing Service:

265.971           Guaranteed Trust Corporation for Health Insurance:

265.971           Guaranteed Trust Corporation for Health Insurance: MSSNY will seek legislation or regulation requiring the information of a Guaranteed Trust Corporation for health insurance in New York State.  (Council 2/4/99; Reaffirmed HOD 2014)

By |2023-03-27T17:59:46+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.971           Guaranteed Trust Corporation for Health Insurance:

265.970           Prompt Payment Law:

265.970           Prompt Payment Law: MSSNY will seek legislation to amend the Prompt Payment Law so as to allow relief for physicians through a class action suit. (Council 9/30/99; Reaffirmed HOD 2014; Reaffirmed HOD 2024)

By |2024-07-23T18:40:37+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.970           Prompt Payment Law:
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