The New Jersey Board of Dentistry (Board) adopted a rule in November 2011 that allows dentists who meet specific requirements to administer botox and fillers.
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Can a provider bill a beneficiary all or part of the difference between the provider’s charged fees and the payment received from NJ Medicaid or managed care plan? The NJ Department of Human Services, Division of Medical Assistance & Health Services (Department) recently answered that question. The second alternative treatment center recently became operational in New Jersey under the state’s Compassionate Use Medical Marijuana Act. We review some of the legal requirements that impact participating physicians. Round 2 competitive bidding program (Program) went into effect as of July 1, 2013 in 91 Metropolitan Statistical Areas (MSAs). At the same time, Medicare began the national mail-order program for diabetic supplies. Below we discuss some of the features of the Program and what this may mean for DMEPOS suppliers and those healthcare providers who refer patients for durable medical equipment and supplies. Whether you are considering full-time or part-time employment, a newly minted doctor leaving a residency program or a more seasoned practitioner joining a group practice, the following key aspects of an employment relationship should be considered before agreeing to any arrangement. Documenting each patient encounter not only benefits the patient but it is also good preventative medicine for the doctor against claims of professional negligence, failure to meet certain professional standards, and investigations by government agencies. The position taken by most licensing boards and law enforcement agencies is that if an item or service is not documented in a patient’s medical record “it didn’t happen.” Below we discuss the minimum documentation requirements imposed by New Jersey Medicaid on participating providers. This past November 19, New Jersey Gov. Chris Christie signed into law a bill that for the first time would require license suspension or revocation of certain health care professionals and medical waste facilities, generators, and transporters for illegal or improper medical waste disposal. The law went into effect immediately. The Affordable Care Act (ACA) imposed certain enhanced Medicaid enrollment requirements for State Medicaid programs to follow. Recently, the NJ Medicaid Fraud Division Unit (MFD), in consultation with the NJ Division of Medical Assistance and Health Services (DMAHS), described how it plans to comply with the ACA’s enhanced provider screening requirements. Whether a physician is advertising in a newspaper, disseminating a pamphlet about the practice, or using the internet, caution must be taken to avoid running afoul of the advertising regulations of the New Jersey Board of Medical Examiners (BME). The fact that physicians must prepare and maintain records is hardly news to anyone. It may have, however, been a while since a physician last reviewed the requirements for patient documentation in New Jersey that are imposed by the Board of Medical Examiners (BME). |
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