In Billing
Jul 9th, 2018
The New Jersey (NJ) governor signed a new law designed to curb the impact of costly “surprise” medical bills when a patient sees a non-participating provider during an admission. The bill is quite complex but tries to balance the needs of  patients, insurance companies, providers, and facilities. Supporters said the law, which has been 10 ...
Borrowing a page from the plan announced by Amazon, JP Morgan Chase, and Berkshire Hathaway, six healthcare systems in New Jersey are joining their work forces to expand coverage to 50,000 employees and dependents under a single self-insured health plan. The goal of joining together is to reduce costs and improve access to high quality healthcare services ...
Jun 1st, 2012
Let under-utilized appeals systems work for your practice. By Heather M. Shand, CMAA, CBCS, CMB Sometimes, even if you do everything right, you may end up with denied claims. Rather than throw up your hands and walk away, you should appeal. Yes, it will mean extra work, but the results are worth it: Most of ...
In Coding
Mar 1st, 2010
Effective May 17, Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) will implement policy and procedural changes in regard to how services submitted with certain modifiers are reimbursed. The insurer notified participating physicians of the changes in a letter dated February 2010. Modifier Payment Policy Changes on the Horizon was last modified: July 5th, ...