2018 Announcements

2019 Medicare Physician Fee Schedule 

Click here to download the 2019 MPFS 

Out of Network Update

Click here to access important out of network information 

**Please use your member credentials to access these documents**

NJ Department of Banking & Insurance: Program for Independent Claims Payment Arbritration (PIPCA)


Click this link to access the PIPCA application website

Out-of-Network" DOBI Bulletin 18-14 Guidelines On Out-of-Network

Click to download the complete DOBI bulletin

Sussex County Medical Society Newsletter

Click here to download our latest newsletter!

New Jersey Earned Sick Leave 

Click here to download the detaiils about the New Jersey earned sick leave law 
 
IMPORTANT Out of Network Guidance 
 
Click here to view the out of network bulletin 

Click here to view the summary of provsions for healthcare professionals 

Norris McLaughlin & Marcus's Law Healthcare Blog
 
Sign up here for Norris McLaughlin & Marcus's Health Care Law Blog 

The website is www.nmmhealthcarelaw.com
 
Important: Postponement of new AmeriHealth New Jersey policy regarding CPT® consultation codes 

Please be advised that AmeriHealth New Jersey will postpone the implementation of Claim Payment Policy #00.01.64: Consultation Codes, which outlines our reimbursement position on Current Procedural Terminology (CPT) consultation codes.

We previously communicated that this Claim Payment Policy would go into effect January 1, 2018, which would have aligned with reimbursement standards on certain CPT consultation codes set by the Centers for Medicare & Medicaid Services. However, the implementation of this policy will be postponed, and the Notification has been removed from our Medical Policy Portal.

Once the new implementation date is determined, we will post a new Notification on our Medical Policy Portal. We will also communicate this information in a future Partners in Health UpdateSM article.
If you have any questions, email us at consultcodes@amerihealth.com. Be sure to include your name, contact number, and provider ID number in your email.

CPT Copyright 2016 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.

Highlights of the 2018 Medicare Physician Fee Schedule (MPFS) Final Rule 

Click here to download the MPFS 

 
2018 Quality Payment Program Final Rule Highlights 

Click here to download the quality payment program document