Bill

Bill > A4057


NJ A4057

Requires medical fee schedule by automobile insurers to provide for reimbursement of certain services provided by ambulatory surgical center at rate of 300 percent of Medicare payment rate.


summary

Introduced
05/19/2022
In Committee
05/19/2022
Crossed Over
Passed
Dead
01/08/2024

Introduced Session

2022-2023 Regular Session

Bill Summary

This bill requires the medical fee schedule promulgated by the Commissioner of Banking and Insurance that is used for the reimbursement of medical expenses by certain automobile insurers to provide for reimbursement of services provided by an ambulatory surgical center that are not currently listed on the medical fee schedule at a rate of 300 percent of the Medicare payment rate for that service provided that the services are reimbursable pursuant to current Centers for Medicare and Medicaid Services guidelines. Unlisted medical supplies utilized in conjunction with services that are not currently listed on the medical fee schedule are required to be reimbursed at invoice cost plus 20 percent.

AI Summary

This bill requires the medical fee schedule promulgated by the Commissioner of Banking and Insurance that is used for the reimbursement of medical expenses by certain automobile insurers to provide for reimbursement of services provided by an ambulatory surgical center (ASC) that are not currently listed on the medical fee schedule at a rate of 300 percent of the Medicare payment rate for that service, provided the services are reimbursable under current Centers for Medicare and Medicaid Services guidelines. Unlisted medical supplies used in conjunction with these unlisted services must be reimbursed at invoice cost plus 20 percent.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 05/19/2022)

bill text


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