eMedNY Billing Alert

Carl J. Pucci in Finance & Reimbursement

eMedNY has instituted a new edit for multiple claim submissions for the same service, effective April 25, 2019. As outlined in the attached notice, any claim not correctly submitted within 60 days or on the second resubmission would be deemed invalid.

NYSHFA members have raised serious concerns related to the new edit which will be set to deny claims after the second claim resubmission; especially given that eligibility issues with local county districts often take numerous submissions to be accepted.

NYSHFA has requested a meeting with DOH as soon as possible to relay member concerns. We will keep members updated on those discussions.

NYSHFA/NYSCAL CONTACT:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36