Jul 2, 2025 | News for Members, PAC & Legislative Updates
On June 30th, the New Jersey General Assembly passed by a vote of 79-0, Assembly Bill 3099, sponsored by Assemblyman Guardian, Assemblywoman Donlon, Assemblywoman Haider and Assemblyman Freiman, which establishes option for students nearing completion of...
Jun 27, 2025 | Insurance News, News for Members
Dear ANJC Members, CMS has identified a fraud scheme targeting Medicare providers and suppliers. Scammers are impersonating CMS and sending phishing fax requests for medical records and documentation, falsely claiming to be part of a Medicare audit. Important: CMS...
Jun 22, 2025 | ANJC News & Updates, News for Members
From Dr. Rich Healy, ANJC Medicare Consultant Q: What are the different types of Medicare Advantage Plans? A: There are 5 main types of MA plans. Coordinated Care Plans, which are sub-divided into HMO plans (In-Network), PSO (Provider Sponsored Organizations) plans...
Jun 4, 2025 | Insurance News, News for Members, The Back Channel
Horizon Horizon Class Action Settlement Claim notices have recently been sent out regarding a recent class action settlement for which chiropractors are potentially in the class of physicians that are encompassed by the settlement. By way of background, the Blue Cross...
Jun 4, 2025 | Insurance News, News for Members, The Back Channel
Under federal law, the self-referral law, codified at 42 CFR section 411.353, also known as the “Stark law” after its original proponent, Congressman Pete Stark: i) Prohibits a physician from referring patients for certain “designated health services” (“DHS”) payable...
Apr 21, 2025 | ANJC News & Updates, News for Members
Payer denials based on diagnosis coding are a significant challenge for healthcare Providers. Every rejected claim leads to revenue loss, additional administrative work, and overall frustration. However, understanding denial and claim rejection reasons can help...
