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Date: 11/7/2012 10:28 PM UTC



Attention Medical Providers:
The following PIP ALERT was discussed at last nights Meeting of the NJASIPP. 

This information is prepared by Massood & Bronsnick, LLC. 


NEW PIP REGULATIONS EFFECTIVE JANUARY 2013

The new PIP regulations become effective approximately January 3, 2013. The new regulations affect all medical providers but the substantial changes are to surgical centers, pain management physicians, surgeons, VNG testing, and acupuncturists. (New appeal Process goes into effect January 3, 2014)

NEW FEE SCHEDULE

The New Fee Schedule provides substantially less reimbursement and does not permit reimbursement for numerous codes (included with other procedures.) Reimbursement rates are not addressed in this memo.

A. Exhibit 1, Physicians in Surgical Centers
B. Exhibit 2, Dental fee schedule
C. Exhibit 3, Home care fee schedule
D. Exhibit 4, Ambulatory Service Fee Schedule
E. Exhibit 5, Durable Medical Equipment Fee Schedule
F. Exhibit 6, Codes Subject to Daily Maximum
G. Exhibit 7, HOSF Schedule

AMBULATORY SURGICAL CENTER

New Definition: ambulatory surgical; case means a procedure that is not minor surgery that is defined in N.J.A.C. 13:35-4A-.3. N.J.A.C. 13:35-4A-.3 states:

Codes that do not appear in Exhibit 1 are not reimbursable in an ASC.

DISCOGRAPHY

CPT Codes 62290 and 62291 are not reimbursable if performed at an ASC or an out- patient hospital. CPT 62290 and 62291 are listed in the July 2011, Exhibit 1. They have an amount for the physician, but not for a surgical center. The discography codes have been removed from the January 2012 Exhibit 1 and the October 2012 Exhibit 1. The discography codes also appear on Exhibit 7 Hospital Out-Patient with no amount. Commissioner’s October 2012 comments, page 299, states discography performed at an ASC or Out-Patient Hospitals are not entitled to reimbursement.

There are 129 medical procedures that are no longer reimbursable if performed in an ASC. They are as follows: CODE CODE
CODE
CODE
CODE
20100 20101 20102 20660 20661
20664 20931 20937 20938 20955
20974 20975 20985 21116 21365
21366 21385 21386 21395 21408
21470 21825 22220 22222 22224
22226 22318 22319 22325 22326
22327 22328 22520 22521 22522
22526 22527 22532 22533 22534
22548 22551 22552 22554 22556
22558 22585 22590 22595 22600
22610 22612 22614 22630 22632
22800 22802 22804 22808 22810
22812 22830 22840 22842 22843
22844 22845 00846 00847 22848
22849 22850 22851 22852 22855
22856 22857 23332 23350 23470
23472 24220 25246 26055 27036
27093 27095 27096 27130 27132
27227 27228 27236 27245 27447
27487 27506 27507 27511 27513
27514 27524 27535 27536 27540
61107 61154 61312 61313 63020
63030 63035 63040 63042 63044
63054 63046 63047 63048 63050
63051 63056 63057 63075 63076
63077 63078 63081 63082

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Date: 11/7/2012 10:23 PM UTC

 
 
Excel Surgery Center Fall Networking Event
We Own The Night
October 24, 2012
Club Aladdin_Hackensack NJ
 









































































































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Date: 10/19/2012 7:46 PM UTC


To all you Sports Fans…
Two of the items up for grabs at the silent auction:  Autographed baseballs from the Yankees and the Mets! The first is a baseball autographed by Yankee Raul Ibanez, a pinch hitter for A-Rod and saved two of the Yankee’s playoff games this year with late home runs! The second is a baseball autographed by Mets pitcher R.A. Dicket. Dicket was the Mets’ first 20 game winner in a couple decades and is a serious candidate for this year’s Cy Young Award.
More to come! Get excited! RSVP at Confirmevent@excelsurgerycenter.com!



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Date: 10/16/2012 8:26 PM UTC

The moment you’ve all been waiting for….
Get excited! At the upcoming Excel Surgery Center Networking event, we will be giving away a brand-new luxury sedan C300 Mercedes-Benz. This beautiful black, luxury car comes with Sirius XM satellite radio, heated front seats, a Harman/Kardon Sound System w/Dolby 5.1, and iPOD/MP3 Media Interface. It also includes split folding rear seats, power steering with memory, COMAND navigation with voice control, and a rearview camera.  You could win this tricked-out car at the end of the night October 24th at Club Aladdin in the drawing; all you have to do is….
RSVP at confirmevent@excelsurgerycenter.com and pay your admission fee in advance at Shelteroursisters.org!

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Date: 10/11/2012 6:58 PM UTC


JUST ADDED TO OUR FALL NETWORKING EVENT!! DJ JOHNNY VERSACE!! THIS WELL KNOWN DJ, IS ALSO A SUCCESSFUL BUSINESS MAN, OWNING OPM NIGHTCLUB AND RESTAURANT, A BROOKLYN HOT SPOT. JOHNNY IS A BIG ADVOCATE AGAINST DOMESTIC VIOLENCE AS WELL. JUST A REMINDER THE EVENT IS LESS THAN TWO WEEKS AWAY SO PLEASE RSVP IF YOU HAVE NOT DONE SO ALREADY. PLEASE MAKE YOUR DOOR FEE DONATION AT SHELTEROURSISTERS.ORG TO FINALIZE YOUR CONFIRMATION TO THIS MUST- ATTEND EVENT.


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Date: 10/9/2012 7:57 PM UTC

JUST IN!! 20 TON BRIDGE BAND ADDED TO EXCEL SURGERY CENTER’S FALL NETWORKING EVENT!! MEMBERS RENE MARTINEZ, RENATO MILONE, AND DANIEL WHITE, MAKE UP THIS NEW YORK BASED POP BAND BLENDING FUNK, ROCK, LATIN AND HIP HOP. THIS BAND WILL HAVE THEIR OWN SHOW AIRING ON MTV NEXT YEAR. MORE TO BE ANNOUCED LATER IN THE WEEK. REMINDER: PLEASE DO NOT FORGET TO RSVP IF YOU HAVENT ALREADY DONE SO AT CONFIRMEVENT@EXCELSURGERYCENTER.COMWE ARE ENCOURAGING PAYING YOUR ADMISSION FEE IN ADVANCE ONLINE AT SHELTEROURSISTERS.ORG FOR A SEAMLESS CHECK-IN PROCESS. MINUMUM $20 DONATION FEE BUT OUR GOAL FOR THIS EVENT IS $100,000. REMEMBER THIS IS FOR A GOOD CAUSE. THANKS AGAIN !!!

 

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Date: 10/8/2012 2:45 PM UTC


JUST IN!!! VIOLINIST JUDY KANG ADDED TO THE EXCEL SURGERY FALL NETWORKING EVENT!! A PRODIGY AT AGE 4, WITH MORE THAN A DECADE OF EXPERIENCE PLAYING WORLDWIDE FROM NYC'S CARNEGIE HALL TO WIGMORE HALL IN LONDON. IN 2010, KANG EMBARKED ON TOUR WITH FAME MONSTER HERSELF, THE 21ST CENTURY'S BIGGEST POP STAR, LADY GAGA. MANY MANY MORE TO COME !! WE WILL KEEP YOU UPDATED..PLEASE DONT FORGET TO RSVP IF YOU DIDNT DO SO ALREADY AT CONFIRMEVENT@EXCELSURGERYCENTER.COM-- ALSO WE ARE ENCOURAGING PAYING YOUR ADMISSION FEE IN ADVANCE ONLINE AT SHELTEROURSISTERS.ORG FOR A SEAMLESS CHECK-IN PROCESS. MINIMUM $20 ADMISSION FEE BUT THIS IS FOR A GREAT CAUSE AND OUR GOAL IS $100,000!!!.THANKS AGAIN !!!
 

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Date: 10/3/2012 6:27 PM UTC

JUST IN!!! GARY MICHAELS FROM COMEDY CENTRAL AND SIRIUS RADIO RAW DOG/ BLUE COLLAR RADIO WILL BE ONE OF MANY GUEST APPEARANCES AT THE EXCEL SURGERY CENTER HEALTHCARE & LEGAL NETWORKING EVENT !!! WE WILL KEEP YOU UPDATED ON THE OTHER CELEBRITIES THAT WILL BE ATTENDING..DONT FORGET TO RSVP !!

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Date: 9/26/2012 8:52 PM UTC


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Date: 6/11/2012 2:56 PM UTC

New Jersey Hall of Fame Award Ceremony
 In attendance to celebrate this auspicious occasion Excel Surgery Center, IWP Pharmacy,
 Dr. Ray Reiter ,Columbus Imaging and Elite Physician Services.

 
 
 
 

New Jersey Hall of Fame welcomes 10 new members

Sunday, June 10, 2012
Michael Douglas and Catherine Zeta-Jones arrive at Cowboys Stadium to watch the NFL football Super Bowl XLV game between the Green Bay Packers and the Pittsburgh Steelers Sunday, Feb. 6, 2011, in Arlington, Texas. (AP Photo/Paul Sancya)
       
Actor Michael Douglas, author Joyce Carol Oates and basketball coach Bob Hurley were among 10 new members inducted into the New Jersey Hall of Fame on Saturday.

Also welcomed into the hall during a ceremony at the New Jersey Performing Arts Center were New York Giants owner Wellington Mara; the late actor-activist Christopher Reeve; jazz singer Sarah Vaughn; media mogul Samuel I. Newhouse; Olympian Milt Campbell; Wild West Show sensation Annie Oakley and condensed soup inventor John Dorrance.
Hurley, who has coached at St. Anthony High School in Jersey City for 39 years, said high school coaches don't expect such accolades. He's won 26 state championships and more than 1,000 games during his tenure at the school.

  "For all of us in high school coaching, I think we share this," Hurley said.
Oates, a longtime Princeton professor, has earned a National Book Award, a National Humanities Medal and Pulitzer Prize nominations. But she said local awards are especially thrilling.
"It's very nice to receive awards that are close to home," she said. "Other awards are kind of abstract."
And Barbara Johnson, Reeve's mother, said her son would have been excited to be honored as an entertainer. The "Superman" star grew up in Princeton and starred in nearly every stage production at his high school before becoming an advocate for stem-cell research.
"He would have loved it," Johnson said.
Organizers also honored Eric LeGrand, the paralyzed former Rutgers University defensive tackle who recently signed a symbolic contract with the Tampa Bay Buccaneers. He received the Unsung Hero Award.
Tampa Bay Buccaneers Coach Greg Schiano, who coached LeGrand at Rutgers and offered him the NFL contract, gave the award to the inspirational former athlete.
"I don't know that there can be a more appropriate recipient," Schiano said. "You talk about a hero; Eric is a hero."
Douglas, who won Academy Awards for his role as Gordon Gekko in "Wall Street" and for producing "One Flew Over the Cuckoo's Nest," said being inducted helped remind him of his roots. He was born in New Brunswick.
"Not to mention that two of my dearest friends, Danny DeVito and Jack Nicholson, will not have one up on me anymore," Douglas said, referring to their previous inductions.
The E Street Band was also set to be honored at the 11 member of the class of 2012, but the group is currently touring with Bruce Springsteen and will be inducted at a later date.

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