Requires health insurance carriers to use federal resource-based relative value scale when determining reimbursement values for evaluation and management billing codes appended by modifier 25.
To Require Fair And Transparent Reimbursement Rates; To Ensure Parity Of Healthcare Services; To Amend The Billing In The Best Interest Of Patients Act; And To Declare An Emergency.
Requires health insurance carriers to use federal resource-based relative value scale when determining reimbursement values for evaluation and management billing codes appended by modifier 25.
To Mandate Coverage For Breast Reconstruction Surgeries; To Require Prior Authorization For Breast Reconstruction Surgeries; And To Establish A Minimum Reimbursement Rate For Breast Reconstruction Surgeries.