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Cohen Howard

NJ Bill Prohibits Carriers from Denying Authorization to Out-of-Network Reconstructive Breast Surgeons for Cancer Patients

January 28, 2019 By Cohen Howard

On January 22, 2019 the NJ Bill S-3203, sponsored by Senator Joseph Lagana and Senator Vin Gopal, requiring hospitals to provide breast cancer patients with information concerning reconstructive surgery was released from committee and will head to … [Read more...] about NJ Bill Prohibits Carriers from Denying Authorization to Out-of-Network Reconstructive Breast Surgeons for Cancer Patients

Filed Under: News

NY Settlement with EmblemHealth Requires Insurance Company to Cover Gender Reassignment Surgery for Members

December 13, 2018 By Cohen Howard

As part of the agreement, EmblemHealth will provide full restitution to members who paid out-of-pocket for gender reassignment surgical procedures after denial of coverage by EmblemHealth.  For the full article please click here. … [Read more...] about NY Settlement with EmblemHealth Requires Insurance Company to Cover Gender Reassignment Surgery for Members

Filed Under: News

Cohen Howard Scores Another Big Win For Out-of-Network Provider Community

December 12, 2018 By Cohen Howard

Law360 (December 11, 2018, 10:09 PM EST) has published an article covering another case in which Cohen Howard has successfully challenged the under-reimbursement of authorized medical services rendered by our client, an out-of-network provider.  For … [Read more...] about Cohen Howard Scores Another Big Win For Out-of-Network Provider Community

Filed Under: News

NJ Surprise Bill Regulatory Alert — DOBI Publishes Implementation Bulletin

November 21, 2018 By Cohen Howard

On November 20, 2018, The New Jersey Department of Banking and Insurance (“DOBI”) released Bulletin No. 18-14 (the “Bulletin”) relating to Implementation of P.L. 2018 C. 32 (N.J.S.A. 26:2SS-1 to -20) Out-of-Network Consumer Protection, Transparency, … [Read more...] about NJ Surprise Bill Regulatory Alert — DOBI Publishes Implementation Bulletin

Filed Under: Uncategorized

Cohen Howard represents Out-of-Network Spinal Surgeon and prevails against BCBS of NJ

October 11, 2018 By Cohen Howard

Out-Of-Network Health Care Provider Isn’t Seeking ERISA Benefits, Judge Says (Lexis Legal News) TRENTON, N.J. — An out-of-network provider is not a beneficiary of an Employee Retirement Income Security Act plan (ERISA), and because the plan … [Read more...] about Cohen Howard represents Out-of-Network Spinal Surgeon and prevails against BCBS of NJ

Filed Under: News

ALERT: DOBI Issues a “Synopsis of the Implementation” of the NJ Surprise Bill

September 6, 2018 By Cohen Howard

On August 27, 2018, the Department of Banking and Insurance issued a "Synopsis of the Implementation of the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act" (the "Synopsis").  The Synopsis is intended to … [Read more...] about ALERT: DOBI Issues a “Synopsis of the Implementation” of the NJ Surprise Bill

Filed Under: News

Anti-Assignment Clause Ruling Requires New Forms

August 6, 2018 By Cohen Howard

In order to facilitate proper claim reimbursements and to file health benefit claims on behalf of your patients, your Assignment of Benefits and Designated Authorized Representative Form(s) must be updated to include a Limited Special Power of … [Read more...] about Anti-Assignment Clause Ruling Requires New Forms

Filed Under: News

Webinar: Conquering NJ’s Out-Of-Network Consumer Protection Act

July 10, 2018 By Cohen Howard

On July 9th Leslie Howard hosted a live webinar and that outlined the impact of the NJ Surprise Bill for the OON provider community. In an effort to protect consumers from unexpected medical bills, the NJ law prohibits balance billing for "emergency … [Read more...] about Webinar: Conquering NJ’s Out-Of-Network Consumer Protection Act

Filed Under: Webinars

Leslie Howard Speaks At The NJDPA Practice Enhancement Seminar

June 21, 2018 By Cohen Howard

The conference room of the APA Hotel in Woodbridge was filled to capacity Monday, June 11, for the New Jersey Doctor-Patient Alliance Practice Enhancement Seminar focusing on what independent providers should do to prepare for the uncertainty coming … [Read more...] about Leslie Howard Speaks At The NJDPA Practice Enhancement Seminar

Filed Under: Uncategorized

NJ Surprise Bill

June 15, 2018 By Cohen Howard

On Monday, June 11, Leslie Howard shared her insights on the NJ Surprise Bill at the NJ Doctor-Patient Alliance (NJDPA) Meeting to a packed audience of 250 healthcare providers and professionals. She provided a comprehensive roadmap of the bill's … [Read more...] about NJ Surprise Bill

Filed Under: News

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