As part of our ongoing commitment to Continuous Quality Improvement at Horizon NJ Health, we want to make you aware of some changes we are making to the distribution method of the quarterly Physician Quality Profile reports.
Many of providers have been receiving enhanced monthly payments as part of available incentives mandated by the Affordable Care Act (ACA). We would like to inform you that these ACA payments will not be issued in the August cycle.
We are pleased to announce that, effective September 10, 2014, prior authorizations will no longer be required for certain services performed in Ambulatory Surgical Centers (ASCs).
There will now be an option in the Claim Status Inquiry (CSI) menu for "Select all Providers" in the drop down menu. This new option will allow the user to search for claims for all providers and groups associated with the office.