New Jersey Archive

Top Rated Podiatrists in New Jersey

Do you suffer from swollen ankles or feet? Do you have cracks and cuts in your feet that make it painful for you to walk, wear shoes or even stand for a while? If you want to seek relief from all these ailments then you need to schedule an appointment with your nearest podiatrist as

Jury Awards Deaf Patient $400,000 for Doctor’s failure to Provide Interpreter

In a remarkable development, a New Jersey jury has just awarded a deaf patient $400,000 for her doctor’s failure to provide an American Sign Language (“ASL”) interpreter. According to the complaint filed by the patient, Irma Gerena, she was referred to a Jersey City-based rheumatologist in 2004. She alleged that she visited the rheumatologist for

Payer Acknowledges Improper Out-of-Network Reimbursements

New Jersey patients and providers recently enjoyed a victory in their long-running tug-of-war with payers concerning the reasonableness of out-of-network reimbursements. Last Tuesday, the New Jersey Department of Banking and Insurance (“DOBI”) announced that Healthnet of New Jersey has agreed to pay $41 million to settle charges that it systematically underpaid out-of-network providers between 1996

New Jersey Lawmakers Cap Self – Pay Charges

Uninsured New Jersey patients will soon be seeing lower hospital charges. Earlier this week, New Jersey’s governor signed into law Assembly Bill 2609, which caps the fees that hospitals can charge uninsured patients. According to the New Jersey Commission on Rationalizing Health Care Resources, the constraints contained in this new law will cause a decrease

MTBC to CA Regulators: Make Payers Play by the Rules

As I explained in my April 1st blog, California regulators have proposed new rules that would allow payers to continue to underpay non-participating providers, while penalizing the providers who seek customary and reasonable reimbursement. The proposed rules are now open for public comment and we have supplied the following comments to California’s regulators: “The underlying

The Terminator Declares War on Balance Billing

Earlier this week, California Governor Arnold Schwarzenegger’s administration followed the lead of a handful of other states by moving to ban certain balance billing practices. This latest lost hardware debacle is instructive for New Jersey health care providers and payers. Likewise, since most states have laws similar to New Jersey’s data breach law, providers and

How to Avoid Paying One Million Dollars for Your Practice’s Laptop

New Jersey Blue Cross Blue Shield (BCBSNJ) recently made news as word of one lost employee laptop spread like wildfire through the health care community and press, adding BCBS to a long list of payers and physicians who have been forced to disclose the loss of computer hardware containing patients’ personal information. Legal Duty of

NJ DOBI Orders Aetna to Properly Reimburse Non-participating Providers

Last week, the New Jersey Department of Banking and Insurance (“NJ DOBI”) entered an order requiring Aetna to pay a fine of $9,457,500 for violating New Jersey’s HMO regulations regarding reimbursement for services rendered by non-participating providers. New Jersey HMO Law Pursuant to New Jersey law, an HMO must limit its members’ liability for services