We Can Help.
At Cohen and Howard, we have been analyzing and actively sharing our insights on the impact of the bill. We remain dedicated and ready to help you navigate the challenging road ahead.
It is no secret that the burden of implementing changes related to the new bill falls on the out-of-network providers. Thus, each practice must modify all office and billing processes in order to comply with the new law.
- Did you know that disclosure requirements vary by setting?
- Does your team know what information needs to be shared with the patient prior to the appointment? What information is mandatory at the time of the appointment?
- Is your team knowledgeable about what information needs to be in written form and what can be communicated orally?
- Are you aware that disclosure requirements apply to all plans, not just ones subject to the Surprise Bill?
- Are you ready to negotiate and arbitrate?
We have successfully collected tens of millions of dollars for out-of-network providers working solely on contingency. Under the new law, it is critical to be prepared to timely negotiate and/or arbitrate your claims. Contact us today for a free consultation and learn how we can help set up your practice to maximize reimbursements on your claims.
What You Need To Know About The New Jersey Surprise Bill
On June 1, 2018, Governor Murphy signed the NJ Surprise Bill law (known as the “Out-of-network Consumer Protection, Transparency, Cost Containment and Accountability Act”). The legislation, in part, was designed to increase transparency of medical billing and to restrict balance billing for certain types of out-of-network procedures: namely ER, Urgent Care and what is referred to as “inadvertent out-of-network services” under State Health Benefit plans and fully-insured plans. As of August 30, 2018, providers are required to adopt new disclosure practices.
Cohen & Howard Prepares Clients for New Disclosure Requirements
The Department of Consumer Affairs recently released an “unofficial interpretation” of the disclosure requirements for healthcare providers. Based on this document, Cohen and Howard has developed a disclosure form letter for all existing clients to use with patients that complies with the intent of the law related to the new disclosure requirements. Beyond disclosures, practices need to be aware of the new arbitration process for unsettled claims. Cohen and Howard is highly knowledgeable in both State and Federal law and is dedicated to helping clients navigate the new law.
On July 9th Leslie Howard hosted a live webinar and that outlined the impact of the NJ Surprise Bill for the OON provider community including plans covered, disclosure requirements, dispute resolution and much, much more. See the entire presentation below.