N.J. Admin. Code § 8:133-6.12

Current through Register Vol. 56, No. 12, June 17, 2024

Section 8:133-6.12 - Results of business manager's review

(a) The business manager shall advise the client and the client's representative of his or her decision in writing within five calendar days of the review. Copies of this notice shall also be provided to the Discharge or Financial Entitlement Unit, the Chief Executive Officer of the hospital, and the Assistant Director, Office of Fiscal and Management Operations.

(b) The business manager, or his or her designee, shall advise the client of his or her right to a divisional review.

(c) The business manager shall forward to the Assistant Director, Office of Fiscal and Management Operations, within three working days of the issuance of the notice to the client, a written summary report of the business manager's conference with the client.

(d) The business manager's review and resulting decision shall be treated and recognized as the initial administrative decision of the client's claim for a larger net payment.

N.J. Admin. Code § 8:133-6.12

Recodified from 10:38-6.12 54 N.J.R. 65(a), effective 1/3/2022