Archive | April 2013

NJ Supreme Court Requires Same Specialty Expert in Medical Liability Lawsuits- Position Urged by MSNJ

Today, the New Jersey Supreme Court ruled in Nicholas v. Mynster, a medical liability lawsuit, in which MSNJ and AMA filed an amicus–friends of the court-brief. The high court agreed with our position that a challenging expert must be board certified in the same specialty as a board certified defendant. In doing so, the court adopted a ” kind-for-kind” specialty requirement. According to Melinda Martinson, General Counsel of MSNJ, “physicians can now be assured that an expert testifying against them in a medical malpractice case will be qualified on the applicable standard of care and whether there was a deviation from the standard resulting in injury.”
The court recognized that competency to treat a condition is not the same as the qualifications required by statute to testify to the applicable standard of care.The court interpreted the plain language of the statute that specifies the qualifications of a testifying expert necessary to carry out the clear intent of the Legislature when it enacted the “New Jersey Medical Care Access and Responsibility and Patients First Act” in 2004. MSNJ worked hard to pass the legislation that included the standards for experts testifying in medical malpractice cases. Our efforts were necessary to address sky-rocketing professional liability premiums driven by lawsuits that were without merit. Read the court’s opinion.MSNJ appreciates the support of the AMA Litigation Center in joining our brief written by John Zen Jackson and Cecylia K. Hahn of McElroy, Deutsch, Mulvaney & Carpenter.

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Medicaid Primary Care Incentive Payment Attestation: Deadline Extended to April 30th

The Division of Medical Assistance and Health Services (DMAHS) confirmed that all physicians who qualify for the ACA enhanced payments to Medicaid primary care providers must complete an attestation form indicating board certification status in a primary care specialty. The deadline for submission of the ACA Self-Attestation Form for traditional fee-for-service Medicaid has been extended to April 30, 2013.

Physicians must submit the attestation by April 30th in order to be eligible for retroactive incentive payments going back to January 1, 2013. Physicians who submit the attestation after April 30th will receive incentive payments starting from the first day of the month the attestation was submitted. For example, if the attestation is submitted on July 17, 2013, then the incentive payments will apply to claims starting July 1st. An original signature is required; therefore the form must be mailed to: Molina Medicaid Solutions, P.O. Box 4804, Trenton, NJ 08650. Please note: the fee-for-service deadline does not apply to physicians in the MCOs; a deadline will be provided in a letter to the physician from the MCO.