All PlansReimbursementMedium impact
Newsletter Vol. 28, No.20
New Jersey Medicaid·NJ · Emergency Medicine, Family Medicine, Internal Medicine +1 more·Provider Notice
We identified it
Jun 20, 2026
Summary
New triage fee reimbursement policy introduced for non-emergent emergency room visits. This policy establishes specific reimbursement guidelines when patients visit the ER for non-emergency conditions that could be treated in other settings.
Action Required
Review Newsletter Vol. 28, No.20 from njmmis.com to understand specific triage fee billing requirements for non-emergent ER visits. Billing team should identify applicable CPT codes and reimbursement rates once full policy details are obtained from the source document.