b'CODING Update ComplianceLEGAL NUTRITIONCouncil[ HORIZON-ASH CONTINUED FROM PAGE 1 ]Meanwhile, ASH representatives began visiting and callingANJC Leadershipmembers, urging them to join ASHs network by Oct. 18th,NUTRITION even with DOBIs approval pending. Providers not alreadyLEGAL EASEcontracted with ASH must become a member of the ASH network and would need to sign a Subordination AgreementANJC ELECTED OFFICIALSAmendment provided by ASH. This would allow theDr. Jordan Kovacs, PresidentASH contract to supersede the Horizon contract while thisDr. Victor Rossi, Vice Presidentagreement is in place. This agreement must be completedDr. Kostantinos Linardakis, 2nd Vice Presidentby November 1st in order to remain in network. If HorizonDr. Jeannine Baer, Secretary REHAB Council terminates its agreement with ASH then your Horizon contract will revert back to its prior status.ANJC APPOINTED OFFICIALSFor in-network providers, the ASH fee schedule would apply inDr. Richard Healy, Treasurerplace of the Horizon fee schedule as of Jan. 1, 2020. In-networkIMMEDIATE PAST PRESIDENTproviders would be subject to medical necessity review afterDr. Steven Clarkea certain number of visits, according to Horizons letter to providers. ASHs Client Summaries define when clinicalANJC STAFF LEGAL Q&A CHIROASSISTinformation should be submitted. Out-of-Network providersExecutive Directors UpdateAmy Boright Porchetta, CFRE, Executive Directorwould be subject to medical necessity review after the 5thJane Kidwell Martinez, Public Relations Specialistvisit. Out-of-network provider claims would be processed inLiz Matelski, Administrative Assistant accordance with the members benefit/eligibility and HorizonMatthew Minnella, Director of Insurance and Regulatory Affairs BCBSNJs out-of-network fee schedule. Out-of-network claimsJaclyn Waterman, Manager of Operations and Educationwould have to be submitted to ASH.The ANJC believes strongly that patients should be able toANJC STATE BOARD MEMBERSaccess chiropractic, and other physical medicine, benefits thatCentral South Legislative Updatepremiumsin order to get healthy and stay healthy. In theINSURANCE Update Dr. Brian Atkissonthe people of New Jersey needand pay for in their insuranceDr. Joseph DAngiolillo INSURANCE UpdateDr. Daniel Grossman Dr. Dan Fuzermidst of an opioid epidemic, there should be no unreasonableDr. Jordan Kovacs Dr. Michael Kirk TECHNIQUE Councilbarriers to conservative care, said Boright Porchetta. n Dr. Kostantinos Linardakis Dr. Victor RossiNorthwest NortheastDr. Jeannine Baer Dr. Steven ClarkeNEW JERSEY Dr. Donald DeFabio Dr. Ed CohenDr. David GraberDr. Tom DEliaPUBLICATION OF THE ASSOCIATION OF NEW JERSEY CHIROPRACTORS FALL 2019 I VOL. 15 I NO. 4 Dr. Seth Rossinow MedicareQ&AMedicare UpdateCOMMITTEE CHAIRSDr. Andreas Skounakis OUR HEALTHNew Jersey Chiropractor is a quarterly publicationDr. Jeannine Baer, COCSA Representativeof the Association of New Jersey Chiropractors.Dr. Mark Spratford, CommunicationsANJC VISION: Dr. Richard Healy, Finance To position Doctors of Chiropractic as providers ofDr. Kostantinos Linardakis, HQ Liaison first choice for New Jersey families to obtain optimalDr. Tom DElia, Insurancehealth and wellness, while improving the quality ofDr. Joseph DAngiolillo, Legal Advisory their lives. Dr. Steven Clarke, LegislativeANJC MISSION:Dr. Richard Fellows, Political Action CommitteeTo improve the health of patients, families Dr. Michael Kirk, Public Relationsand communities by promoting high standards ofCONSULTANTS & ADVISORSprofessionalism and patient care through chiropracticJon Bombardieri, Government Affairs Counselmethods, education, advocacy Dave Klein, CPC, CHC, Insurance Consultantand accountability. Dr. Mike Goione, Insurance ConsultantJeffrey Randolph, Esq., Legal CounselASSOCIATION OF NEW JERSEY CHIROPRACTORS Dr. Richard Healy, Medicare Consultant77 Brant Avenue, Suite 210Dr. Julianne Monica, Nutrition Education Council Clark, New Jersey 07066 Dr. Donald DeFabio, Council on Physical Rehab & Performance908.722.5678908.722.5677 fax Dr. David Graber, Council on Technique & Clinical Excellencewww.anjc.infoinfo@anjc.info Dr. Ed Stivers, Sports Council4 I Fall 2019 www.anjc.info'