265.000 REIMBURSEMENT

265.949           Periodic Summary of Physician Submitted Claims

265.949           Periodic Summary of Physician Submitted Claims MSSNY will seek legislation, regulation or other appropriate action that would require all insurance companies and managed care plans licensed in the State of New York to provide each physician who has submitted a claim to that company or plan with a periodic summary (weekly, monthly or quarterly)

By |2023-03-27T17:52:42+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.949           Periodic Summary of Physician Submitted Claims

265.947           Autism:

265.947           Autism: MSSNY supports requiring the insurance industry to cover scientifically-proven, effective therapy services needed by autistic individuals.  (HOD 2001-167; Reaffirmed HOD 2003-276; Reaffirmed HOD 2015; Reaffirmed with modification HOD 2025)

By |2025-07-09T13:56:41+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.947           Autism:

265.946           Adequate Reimbursement for Screening Mammography:

265.946           Adequate Reimbursement for Screening Mammography: MSSNY will seek regulation and/or legislation that ensures payment for diagnostic and screening mammography at a rate commensurate with the cost of services.  (HOD 2001-254; Reaffirmed HOD 2013; Reaffirmed HOD 2023)

By |2023-08-10T19:31:38+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.946           Adequate Reimbursement for Screening Mammography:

265.942           Costs to the Private Medical Practitioner of Complying with New Unfunded Federal Mandate Called the Needlestick Safety and Prevention Act

265.942           Costs to the Private Medical Practitioner of Complying with New Unfunded Federal Mandate Called the Needlestick Safety and Prevention Act: Sunset HOD 2011

By |2023-03-27T17:48:48+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.942           Costs to the Private Medical Practitioner of Complying with New Unfunded Federal Mandate Called the Needlestick Safety and Prevention Act

265.941        Addressing  Third Party Payers’ Policy Regarding Modifier 25:

265.941        Addressing  Third Party Payers’ Policy Regarding Modifier 25: MSSNY will recommend that all third party payers pay for Modifier 25 submitted by physician practices.  (Council 1/25/01; Reaffirmed HOD 2003-268 & 278; Modified and reaffirmed HOD 2013; Reaffirmed HOD 2023)

By |2023-08-10T19:31:25+00:00March 27th, 2023|265.000 REIMBURSEMENT|Comments Off on 265.941        Addressing  Third Party Payers’ Policy Regarding Modifier 25:
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