Apr 25, 2024 | Insurance News
We previously reported to members the State Court decision issued by a Middlesex County Judge, that dismissed Fraud and RICO claims against doctors in favor of No-Fault arbitration. This decision, however, was limited in precedential value due to the fact that it was...
Apr 11, 2024 | Insurance News
Over the past month, the ANJC has been in close contact with our counterparts at Aetna Medicare Advantage — State Retiree Plan regarding recent denials of 98943 for services rendered in 2024. Aetna has completed its internal investigation and has made the necessary...
Apr 8, 2024 | Insurance News
Over the past few months, Aetna Medicare Advantage state retiree plan (SEHBP) representatives have worked closely with the ANJC to resolve members’ issues with erroneous denials for the 98943 CPT code and orthotics. The ANJC truly appreciates the...
Mar 25, 2024 | Insurance News
The 2024 Medicare Fee Schedule has been updated to reflect the latest CMS revisions. Below, you’ll find the adjusted deductible, PAR and NON-PAR fees, and limiting charges for various locality codes. Ensure your practice has the most current information for billing...
Mar 18, 2024 | Insurance News
Dear ANJC Members, As membership is aware, the ANJC has been in active communication with Aetna regarding denials of services covered under the NJ Retiree Medicare Advantage plans going back to 2022. In an effort of good faith, Aetna has kept the ANJC up to date...
Feb 20, 2024 | Insurance News, PAC & Legislative Updates
Insurance carriers have routinely attempted to limit the chiropractic scope of practice through denial of claims clearly within the chiropractic scope of practice. A recent example occurred in a No-Fault arbitration filed on behalf of a chiropractor by longtime...
