Prior Authorization Facet Joint Intervention Recently National Government Services sent our providers a letter regarding the upcoming Prior Authorization Facet Joint Intervention program. The letter incorrectly stated March 1, 2023, as the start date for the Prior Authorization Facet Joint Intervention. The correct start date for dates of service beginning on or after is July 1,
Reminder: Authorization Renewal with WC board is Required Periodically The Workers' Compensation Board (Board) now requires authorized Acupuncturists, Chiropractors, Licensed Clinical Social Workers, Nurse Practitioners, Occupational Therapists, Physical Therapists, Physician Assistants, Physicians, Podiatrists, and Psychologists to renew their authorization every two or three years. The renewal of a provider's authorization will coincide with their New
Connect with the Center for Medicare & Medicaid Services and National Government Services Join Heather Lopez, MSSNY’s Vice President of Physician Payment & Practice, an expert in practice management, billing, and reimbursement on Tuesday, April 11, at 6 pm for the Center for Medicare & Medicaid Services and National Government Services’ open agenda meeting. Members are encouraged to
NY Physicians Applaud DFS for $80 Million in Recoveries Under Prompt Payment Law; But Call for Updates to the Law with Stricter Penalties for Insurers who Illegally Delay Payment for Patient Care MSSNY released the following press statement from MSSNY President Dr. Parag Mehta on March 22: “New York’s physicians are grateful to the State’s
Paper Checks Phasing Out for Oxford Claims Payments Choose between direct deposit or virtual card payments By late second quarter 2023, UnitedHealthcare will no longer send paper checks for many* claim payments for Oxford plans in Connecticut, New Jersey and New York. This change supports our continued efforts to accelerate payments to your practice by
Overpayment, Appeal Letters Going Paperless on May 5 Beginning May 5, UnitedHealthcare will no longer mail overpayment and appeal decision letters sent directly by UnitedHealthcare* to network health care professionals (primary and ancillary) and facilities in New York This change applies to UnitedHealthcare Community Plans. Instead, you'll be able to view them digitally 24/7. Note:
OPRA Provider and Denied United Claims? Are you a NYS Medicaid OPRA provider and receiving denied claims from United Healthcare’s Community Plan? Beginning last September, all providers needed to be enrolled as a Medicaid provider per The 21st Century Cures Act. It has come to MSSNY’s attention that there are physicians who are enrolled as
CMS Webinar: 2023 Medicare Physician Fee Schedule (MPFS) Final Rule Updates On March 23, at 1:00 PM, the Centers for Medicare & Medicaid Services (CMS) will present a webinar with updates and policy changes for Medicare Payments and other Medicare Part B issues effective on or after January 1, 2023. The webinar will review the
Steps to Take if Your WC Testimony Deposition is Not Paid If you are not paid within 10 days of the completion of a deposition, you should send a letter to the insurer's claim administrator stating so. The letter should include the workers' compensation case number, the date of the deposition, and a request for
CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19 Public Health Emergency As part of the Centers for Medicare & Medicaid Services’ (CMS) ongoing efforts to provide up-to-date information to prepare for the end of the Public Health Emergency (PHE) for COVID-19, which is expected on May 11, 2023, we are providing a new overview
