Stop the NJ Legislature from Imposing Fee Schedules for Out- of-Network Emergency Services Provided at In-Network Facilities
The New Jersey state legislature is, once again, considering legislation to address “surprise billing” of patients who received out of network services at in network facilities. NJ-ACEP continues to actively oppose the out of network reform legislation that would significantly impact emergency physicians by imposing mandatory arbitration and unreasonably low fee schedules for emergency services provided by out of network physicians at in network facilities. NJ-ACEP is part of a coalition of providers that favors disclosure and transparency from hospitals, physicians and payers to help eliminate the “surprise” of an out of network bill. But the coalition strongly opposes the efforts of the sponsors and the insurance industry to impose fee schedules on out of network physicians, eliminating the ability to negotiate out of network charges or even in network contracts with insurers. Furthermore, the proposed fee schedule sets the rate paid at 100-250% of the Medicare reimbursement rate.
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It is my honor to serve as this year’s President of NJ-ACEP. I want to thank Mark Rosenberg for an outstanding year and congratulate him on his election to the National ACEP Board of Directors. I have a tough act to follow. Please allow me to introduce myself to those who may not know me.
Aside from medical school (Chicago) and residency (Philadelphia), I have spent most of my life in New Jersey. I completed my residency training at Jefferson in 1995 and spent the next 6 years practicing in Philadelphia. During the early years of my career I had the opportunity to moonlight at many of New Jersey’s Emergency Departments from single coverage 24 hour shifts in Sussex County to Atlantic City’s city hospital and everything in between. This allowed be to experience multiple clinical settings and group structures. I moved from my fulltime position in Philadelphia to Robert Wood Johnson University Hospital in New Brunswick in 2001.
A Special Thanks to our Gold Supporters of the NJ-ACEP 2020 Virtual Scientific Assembly held on September 30, 2020
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ABEM (American Board of Emergency Medicine)
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