Craig Domalewski to Present Webinar for the New Jersey Hospital Association on The Ensuring Transparency in Prior Authorization Act
Dughi, Hewit & Domalewski, P.C. is proud to announce that Craig Domalewski will present a webinar for the New Jersey Hospital Association on the recently enacted Ensuring Transparency in Prior Authorization Act.
The Ensuring Transparency in Prior Authorization Act will take effect on January 1, 2025, and sets forth new standards and procedures for prior authorization that apply to both healthcare providers and payors to assure that all patients receive optimal care and are treated fairly. The new Act makes significant changes to the procedures and guidelines first created under the Health Claims Authorization, Processing and Payment Act for utilization management and treatment authorization decisions, communications and timelines concerning the same.
These changes will require providers to establish clinical criteria and guidelines for medical services and ongoing utilization review. The changes will have a major impact on the practice of medicine, the delivery of medical services to patients and the reimbursement paid to providers. This program is designed specifically for providers to assist them with preparing for the Jan. 1 implementation of the new provisions. The program will explain changes regarding prior authorization standards and timelines, new standards for utilization management policies and procedures, describe how the law applies to different healthcare providers and different health insurance and reimbursement plans and provide guidance on compliance with the new requirements.
The webinar will take place on September 17, 2024, at 1 pm.
You can register here: Ensuring Transparency in Prior Authorization Act: Understanding the Jan. 2025 Changes to HCAPPA
This program has been approved by the Board of Continuing Legal Education of the Supreme Court of New Jersey for 1.5 hours of total CLE credits.
Mr. Domalewski is the managing partner of Dughi, Hewit & Domalewski, P.C. He regularly represents hospitals, physicians, and other entities in connection with commercial disputes, regulatory matters, and compliance issues. His legal experience includes litigating a broad range of complex civil litigation matters involving insurance-coverage, commercial disputes, and healthcare-related issues, providing regulatory advice and guidance to hospitals and other entities subject to regulatory oversight, and negotiating commercial transactions.
