New York A05375 amends insurance law to allow insurers to use time-related reimbursement for anesthesia services if based on criteria from an.
New York A05375 amends the insurance law to prohibit insurers from imposing arbitrary time caps on reimbursement for anesthesia services during medically necessary procedures. It allows insurers to use a time-related reimbursement methodology if it is based on criteria established by an independent organization, such as those used by Medicare and Medicaid. Insurers must have a process for submitting additional medical records and sharing electronic medical records to assess reimbursement increases.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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