The court held that the amendment, which addresses insurer reimbursement for a qualified professional health service performed outside of New York State, applies prospectively only, noting that the law is settle
In October 2016, the clinic’s supplier of P-Stim devices sent the clinic an email stating the company had “no position on what the proper coding might be for this device if billed to a third-party payer” such as an insurer or Medicare, according to the lawsuit. The company advised ...
In fact, only by estimating the overall risk can an insurer develop a monthly premium to provide the payment for the health care benefits specified in the insurance agreement in the event that disease occurs. This is the principle upon which health care in the US and Commonwealth countries is...