Bill

Bill > S1464


NJ S1464

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
01/09/2024
In Committee
01/09/2024
Crossed Over
Passed
Dead

Introduced Session

2024-2025 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 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% of the Medicare payment rate for that service, provided the services are reimbursable under current Centers for Medicare and Medicaid Services (CMS) guidelines. Additionally, unlisted medical supplies utilized in conjunction with these unlisted services are required to be reimbursed at invoice cost plus 20%.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 01/09/2024)

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