Reimbursement Protocols

GNYHA works closely with the New York State Department of Health and the New York State Department of Financial Services to align policy guidance for private insurers regarding documentation, claims criteria, and submission data. GNYHA keeps members apprised on insurance reform issues and protocols.

18 Items in Reimbursement Protocols
Damaging United ED Policy on Hold
June 9, 2021
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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UnitedHealthcare Issues Damaging ED Policy Designed to Increase Claim Denials
June 7, 2021
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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UHC to Delay Lab Test Registry Protocol
March 30, 2021
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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UHC to Delay Lab Test Registry Protocol
October 30, 2020
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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UnitedHealthcare Laboratory Test Protocol
October 16, 2020
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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DFS Directs Insurers to Use Sepsis-2 Definition
August 20, 2019
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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DFS Will Require All State-Licensed Insurers to Use Sepsis-2 Criteria for Claims Payment
July 26, 2019
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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DOH Directs Health Plans to Use Sepsis-2 Criteria for Claims Payment
July 26, 2019
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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Wellcare to Discontinue Claims Denials for Failure to Timely Notify
June 10, 2019
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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Empire HealthPlus Withdraws New Documentation Requirements for Emergency Admissions
May 9, 2019
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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URGENT: Empire HealthPlus Policy Requiring Routine Submission of Charge Data
April 30, 2019
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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Empire HealthPlus Rescinds Administrative Denials for Failure to Notify
April 29, 2019
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Finance & Insurance Managed Care & Insurance Reimbursement Protocols
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