S 3264
Requires health insurance carriers to use federal resource-based relative value scale when determining reimbursement values for evaluation and management billing codes appended by modifier 25.
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Sign in to take action- Introduced
- Passed Senate
- Passed General Assembly
- To Governor
- Became Law
Bill overview
This bill requires New Jersey’s health insurance carriers to use the federal resource-based relative value scale when determining how much they reimburse doctors for evaluation and management billing codes that include modifier 25. This scale is used by Medicare and Medicaid to calculate payment amounts based on the resources required to provide the service. The goal is to standardize reimbursement rates for these types of services.
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Primary sponsor
Cosponsor
Joseph Lagana
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