Nov 27, 2019 | Insurance News
11/27/2019Inovalon-Horizon Letters Many members have reported receiving a letter, phone call or both from Inovalon on behalf of Horizon. Inovalon is a company that has performed what are called Risk Adjustment Reviews for various carriers over the years. There are...
Nov 18, 2019 | Insurance News
11/18/20192020 Medicare Fee Schedule The 2020 Medicare Part B fee schedule and deductible have been released. Standard Premium: $144.60 a month (what the Medicare beneficiary pays/month)Deductible: $198.00 a year (up from $185 last...
Sep 18, 2019 | Insurance News
09/18/2019New Horizon Medicaid Pre-Auth Process As of Sept. 1, 2019, Horizon NJ Health, Horizons’ Medicaid subsidiary, is no longer accepting faxed pre-authorization requests. There is an online process that must be utilized to request care. Horizon...
Sep 10, 2019 | Insurance News
09/10/2019United GP Modifier Requirement DELAYED Indefinitely As previously reported, United Healthcare had planned to require the GP modifier to be added to all “therapy codes” as of September 1, 2019. Per the United Healthcare September news...
Aug 16, 2019 | Insurance News
08/16/2019Supreme Court Decision Limiting Third Party Reimbursement Update On March 26, 2019, the New Jersey Supreme Court held in a split decision that auto accident victims who chose the limited $15,000 coverage for No-Fault (PIP) benefits in their auto insurance...
Jul 10, 2019 | Insurance News
07/10/2019New PIP & Workers Comp Electronic Billing Laws New Jersey has passed state laws mandating that bills for Personal Injury Protection (PIP) claims and Workers’ Compensation claims must be billed electronically. A provider may be exempt...
