New York A11688 prohibits insurers from reducing payments for certain medical services based on other services billed on the same day.
New York A11688 amends the insurance law to ensure that insurers, health maintenance organizations, and other entities cannot reduce the payment for evaluation and management or procedural services provided by participating providers solely because the provider also billed other health care services on the same day. This prohibition applies to contracts, written policies, or procedures. Any provision allowing such a reduction is void and unenforceable. The act applies to all contracts and policies issued, renewed, modified, or amended on or after the effective date.
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