New Jersey S3264 mandates health insurance carriers to use the federal resource-based relative value scale for reimbursement of evaluation and.
New Jersey S3264 requires health insurance carriers to use the federal resource-based relative value scale when determining reimbursement values for evaluation and management billing codes appended by modifier 25. This scale, used by the Centers for Medicare and Medicaid Services, assigns monetary value to medical services based on the resources needed by healthcare providers. The bill applies to policies or contracts delivered, issued, executed, or renewed after its effective date, which is 90 days following enactment.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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