MSSNY in Action: Expanding Nebulizer Treatment Coverage for NYS Medicaid Patients
MSSNY was recently made aware by Lisa Chinnici from Panoram Pediatric office that NYS Medicaid would only cover one in-office nebulizer treatment per month. If multiple CPT codes were billed within a month, the patient would be denied coverage, resulting in a loss of revenue for the practice. After being informed of this issue, MSSNY’s Physician Payment and Practice division brought it to the attention of the NYRxEO team, who quickly began looking into it with the Department of Health (DOH). DOH agreed to consider the issue and requested data from MSSNY to inform their decision. MSSNY provided the necessary information, which led to DOH expanding its coverage to include more than one in-office treatment, effective April 1, 2024. This outcome would not have been possible without the hard work and dedication of Heather Lopez, VP of Payment & Practice Division, MSSNY members, and the assistance of the NYRxEO team.
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Change Healthcare by Changing Change Healthcare Colleagues: New York City-based NYC Health + Hospitals has made the switch from Change Healthcare to Experian because of the cyberattack on the claims processing vendor. Change turned many of its IT systems offline following the Feb. 21 hack, and that left many hospitals and physician practices unable to […]
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Federal Investigation into Private Equity, Consolidation in Medicine Three federal agencies are investigating the impact of private equity ownership and the broader consolidation of healthcare organizations on patient care and costs, prompting a wave of concern among physicians. According to Rhonda Wright, MD, from Brookhaven, Georgia, the influence of private equity has led to deteriorating […]
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MSSNY’s Peer to Peer (P2P) Program Available to Help Stress and burnout among physicians have been documented for years, and can be overwhelming at times. MSSNY’s peer supporters can help you gain a new perspective on your job and other life stressors. MSSNY’s Peer to Peer (P2P) program affords physicians, residents, and medical students the […]
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Baby Born Deaf Can Hear After Breakthrough Gene Therapy In a landmark advancement in gene therapy, Opal Sandy from Oxfordshire has shown remarkable progress in the global CHORD (Children Hearing and Oral Restoration through DNA) trial, significantly advancing the treatment of auditory neuropathy. This condition disrupts nerve impulses from the inner ear to the brain, […]
