S 1464 New Jersey Senate · 2024-2025 Regular Session

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.

This bill requires New Jersey automobile insurers to reimburse ambulatory surgical centers (ASCs) for unlisted services at 300% of the Medicare Part B payment rate for those services, provided they meet Centers for Medicare and Medicaid Services guidelines. It specifically applies to ASCs providing services not already listed on the state’s medical fee schedule. Unlisted medical supplies used with these services must be reimbursed at invoice cost plus 20%. The policy change directly affects ASCs and insurers by establishing a new reimbursement standard for previously uncovered procedures.
Sub-Topics: Medicare
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024 Last action Jan 9, 2024
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Jan 9, 2024
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
2 primary · 0 co-sponsors

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