Home > PIP Information for Health Care Providers |
PIP Information for
Health Care Providers |
Find information regarding... |
|
|
|
Automobile Medical Fee Schedule |
The Appellate Division of the New Jersey Superior Court has issued a stay of the implementation of the new PIP fee schedule rules that were to go into effect on 10/1/07. Until further notice, providers and insurers should continue to use the fee schedule rules that are currently in effect. Please check this web site for updated information. |
Auto Medical Fee Schedule Rules |
Fee Schedule Rule Text - PDF or MS Word (Effective for treatment rendered on or after 10/01/07) |
Exhibit 1 |
Physcians' Fee Schedule - PDF or MS Excel (Effective for treatment rendered on or after 10/01/07) |
Exhibit 2 |
Dental Fee Schedule - PDF or MS Excel (Effective 12/30/04) |
Exhibit 3 |
Home Care Services - PDF or MS Excel (Effective
4/7/03) |
Exhibit 4 |
Ambulance Services - PDF or MS Excel (Effective for services rendered on or after 10/1/07) |
Exhibit 5 |
Durable Medical Equipment - PDF or MS Excel (Effective for services rendered on or after 10/1/07) |
Exhibit 6 |
CPT Codes Subject to Daily Maximum - PDF or MS Excel (Effective for services rendered on or after 10/1/07) |
Exhibit 7 |
Ambulatory Surgical Center Fee Schedule - PDF or MS Excel (Effective for services rendered on or after 10/1/07) |
|
|
|
Uniform Attending Provider Treatment Plan Form |
All providers treating PIP patients must use the Uniform Attending Provider Plan Form to submit Decision Point and Precertification Requests to Insurers.
|
|
NJAC 11:3-4 Medical Protocols
Rule
(Care Paths, Decision Point Review, Precertification) |
Bulletin 04-19 Extension of Operative
Dates (PDF) |
Implementation of Protocols Rule Amendments
FAQs |
Full Text of Medical Protocols Rule
Effective until October 27, 2004 (PDF) |
Full Text of Medical Protocols
Rule Effective October 27, 2004 (PDF) |
Full text of Medical Protocols Rule Appendix
Exhibit 1 Glossary
Exhibits 2-8 - Care Paths
Exhibits 9 and 10 - Care Path Diagnosis
Coding & Addendum to Care Paths
|
|
21-Day Notice Rule |
|
|
PIP Alternate Dispute Resolution |
|
|
|
Prompt Payment Regulation Information |
|
|
Reference/Superceded
Materials |
|
|