LOUISIANA STATE MEDICAL SOCIETY
AM 2024 DESTIN
HOUSE OF DELEGATES
RESOLUTION 102
SUBJECT:
LSMS Policies to Sunset
INTRODUCED BY:
Steen Trawick, MD, Speaker Reece Newsome, MD, Vice Speaker
WHEREAS, the LSMS schedules its policies to sunset every five years, and WHEREAS , the following policies are no longer relevant, therefore be it RESOLVED, that the following LSMS policies be sunset
110.01
Health Information - ICD-10 Transparency and Conversion The policy of the LSMS is to oppose the required replacement of the ICD-9CM code set with the ICD- 10CM code set for identifying and reporting diagnosis and procedures and to advocate for the halt of implementation of ICD-10CM due to the gross impediment to patient care ICD-10CM will impose. Authority Note: Added R406-14; reaffirmed R101-19 Eligibility, Benefits & Coverage - Physician Notification of Patients in Health Insurance Exchange Grace Period It shall be the policy of the LSMS that physicians should have meaningful notice from the health insurance issuer when an insured with a qualified health plan purchased with and advance premium tax credit begins the 90-day grace period for failure to pay premiums. Such notice should be provided by a health insurance issuer at any point in which the physician requests information from the health insurance issuer regarding an insured’s eligibility, an insured’s coverage or health plan benefits, or the status of a claim or claims for services provided to an insured. The health insurance issuer should provide such notice in the same manner through which the physician sought the information from the health insurance issuer or through the manner that the physician normally receives claim remittance advice information. Further, the information provided by the health insurance issuer to the physician should be binding on the health insurance issuer and in the event the health insurance issuer provides information which indicates the insured is eligible for services and does not inform the physician that the insured is in the 90 day grace period the health insurance
121.04
issuer should be precluded from recouping payments. Authority Note: Added R401-14; reaffirmed R101-19
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