Federal IDR Process Updates Physicians may have received a notification last week regarding suspension of the Federal IDR process. The information that was sent out was from the Department of Health & Human Services. MSSNY is working with CMS to ensure we get updates to provide to our members as this develops. Effective August 7,
National Study to Document Changes in Physician Practice Expense The American Medical Association (AMA) is undertaking a new national study, supported by 173 healthcare organizations, to collect representative data on physician practice expenses. The aim of the Physician Practice Information (PPI) Survey is to better understand the costs faced by today’s physician practices to support
Are You Looking for Premium Increase Data? If you want to collect data on insurance company premiums, this information is available on the Department of Financial Services website. The information can be used for various purposes, from negotiating contracts to general awareness.
Issues with Insurers? MSSNY Recoups Over $7.5 Million for Members MSSNY’s Division of Physician Payment and Practice is here to help our members. Over the last two years, the division has dealt with over 1,000 different issues and has recouped over $7.5 million for our members from medical insurance providers. Heather Lopez, MSSNY’s Director of Physician
Unwinding the Public Health Emergency: Keeping New Yorkers Covered Fidelis Care invites you and your staff to an informational webinar on Thursday, June 22, at 11 am, about the renewal changes underway in Medicaid, Child Health Plus, Essential Plan, Health and Recovery Plans, and Managed Long Term Care plans in New York State. Members of Fidelis Care's
Missed the NYRx Live Medicaid Pharmacy Program? ICYMI: Check out this week’s webinar NYRx, the Medicaid Pharmacy Program Webinar – PDP, DUR, BLTG on the upcoming changes with the NYRx. Topics include: NYRx, the Medicaid Pharmacy Program Overview Preferred Drug Program (PDP) Brand Less Than Generic Program (BLTG) 72 Hour Emergency Supply NYRx Education &
An Update on UHC's GI Endoscopy Prior Authorization Program MSSNY and 172 other esteemed organizations expressed concerns regarding United Healthcare's (UHC) proposed implementation of additional prior authorizations in the GI endoscopy program. We stressed the significant impact such measures would have on our dedicated gastrointestinal physicians and their teams. In recent developments, UHC has temporarily
Connect with the Center for Medicare & Medicaid Services and National Government Services Join Heather Lopez, MSSNY’s Vice President, Payment & Practice, an expert in practice management, billing, and reimbursement this Tuesday, June 13, 2023, at 6 pm for the Center for Medicare & Medicaid Services and National Government Services’ open agenda meeting. Heather is
NYRx, the Medicaid Pharmacy Program On June 7th @ 7:30 am the NYRx Education & Outreach team will host MSSNY for a training webinar that focuses on different areas of the NYRx Program. No registration is required. We look forward to engaging with you! Key Topics include, but are not limited to: NYRx, the Medicaid
A Victory for Physicians Recently, Cigna announced that beginning on 5/25/23 any claim with the modifier 25 must include medical records for processing. In response, MSSNY, the AMA, and other organizations worked together to advocate for physician offices. MSSNY wrote a letter expressing concern about the added burden this would place on already overwhelmed office
