Acts and Regulations

2010-10 -   Medical Services Payment Act

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NEW BRUNSWICK
REGULATION 2010-10
under the
  Medical Services Payment Act
(O.C. 2010-33)
Filed January 26, 2010
1Section 11 of New Brunswick Regulation 84-20 under the Medical Services Payment Act is amended
(a) in subsection (2.1)
(i) in paragraph (s) by striking out “and” at the end of the paragraph;
(ii) in paragraph (t) by striking out the period at the end of the paragraph and substituting a semicolon;
(iii) by adding after paragraph (t) the following:
(u) the specific anesthesia modifier to describe the service type;
(v) the service modifier to further define the service rendered;
(w) the vaccine lot number of the immunization being administered;
(x) the on-call code when a participating medical practitioner or participating oral and maxillofacial surgeon submits a fee for service claim provided under the mandated on-call program;
(y) the referral date being the date on which the patient was referred;
(z) the referral type where the participating medical practitioner or participating oral and maxillofacial surgeon indicates whether he or she was referred a patient or whether he or she referred a patient to another practitioner;
(aa) the rotation code where the participating medical practitioner or participating oral and maxillofacial surgeon indicates the on-call rotation code for the specific on-call rotation he or she is covering; and
(bb) the assigned number from the prior consultation process that determines coverage of a service where reasonable doubt exists as to its eligibility as an entitled service.
(b) in subsection (2.2)
(i) in paragraph (p) by striking out “and” at the end of the paragraph;
(ii) in paragraph (q) by striking out the period at the end of the paragraph and substituting a semicolon;
(iii) by adding after paragraph (q) the following:
(r) the specific anesthesia modifier to describe the service type;
(s) the service modifier to further define the service rendered;
(t) the vaccine lot number of the immunization being administered;
(u) the on-call code when a participating medical practitioner or participating oral and maxillofacial surgeon submits a fee for service claim provided under the mandated on-call program;
(v) the referral date being the date on which the patient was referred;
(w) the referral type where the participating medical practitioner or participating oral and maxillofacial surgeon indicates whether he or she was referred a patient or whether he or she referred a patient to another practitioner;
(x) the rotation code where the participating medical practitioner or participating oral and maxillofacial surgeon indicates the on-call rotation code for the specific on-call rotation he or she is covering; and
(y) the assigned number from the prior consultation process that determines coverage of a service where reasonable doubt exists as to its eligibility as an entitled service.