Guest guest Posted January 31, 2011 Report Share Posted January 31, 2011 Barry Well over a decade ago I attempted to negotiate a national agreement for the organization I worked for with United Healthcare. We had multiple clinics in rural Tennessee markets that were getting upwards of $125 per hour of service at out of network rates. I wound up speaking with someone higher up in their Edina, MN offices (the Beverly Hills area of Minneapolis/St. , or so the cake eaters tell me). We were looking to acquire a PT clinic operation in the Atlanta, GA area and were willing to concede our rural markets if we could get a national contract for these Atlanta clinics at a reasonable rate (the contract rate at that time in Atlanta was $25 per visit whether you needed that much or not). They wouldn't do the deal and one think that struck me is that the national/regional person I was speaking with had witnessed physical therapy in a hospital once. I believe that is the problem therapists are encountering when attempting to broker deals with " predatory " insurance companies. If therapists are willing to accept Unilateral Contracts with poor reimbursement, insurers have no incentive to change. I am glad to read that you have opted out of Horizon! I hope other New Jersey providers will also look at their practices and ask themselves if the terms being offered are fair and equitable. The more therapists that choose to cancel their contracts and simplify their lives (although they might have a difficult transition time), the better all therapists chances of getting better and more equitable terms. More importantly, how therapeutic will it be to sit down with your patients to let them know, " Gee, 10 years ago we were getting paid $70 per visit. then about 5 years ago they arbitrarily reduced our reimbursement to $58 per visit. Gasoline has almost tripled in that same time span and my rent and other expenses have went up by X. " Not to mention that once a patient is on your side, they will lay into their insurer and let their employers know as well. You could provide them with a template of what their letter might say as a patient service. For those of you that are thinking this one through, how many units of service can you provide at a loss until things turn around and you make up the deficit up on volume? If you cannot solve this equation then you have a future ahead of you in our United States Legislature. I'm not sayin'..., I'm just sayin'! Jim Hall, CPA <///>< General Manager Rehab Management Services, LLC 222-3rd Street SE, Suite 610 Cedar Rapids, IA 52401 319/892-0142 visit our website at: www.rehabmgmt.com cold laser > > What all do you all think of the cold laser? Is it billable? Do you own it? > ease it? Getting good results with? > What say you???? > > Mark Niles PT, MS, CSCS > rthopedic Specialists PA > niles@... > 54-720-7448 x3 > 54-720-9042 fax > This message, together with any attachments, is intended only for the > ddressee. It may contain information which is legally privileged, > onfidential and exempt from disclosure. If you are not the intended > ecipient, you are hereby notified that any disclosure, copying, > istribution, use, or any action or reliance on this communication is > trictly prohibited. If you have received this e-mail in error, please > otify the sender immediately by telephone ( x3) or by return > -mail and delete the message, along with any attachments > > From: PTManager [mailto:PTManager ] On Behalf > f nygaardsabs > ent: Friday, January 28, 2011 9:08 AM > o: PTManager > ubject: L-Code Clarification > > > > had a question for the group about L-codes. When reading up on this charge > ode it is my understanding that this code includes the: > ) Evaluation > ) Fitting of the splint > ) Material and supplies > ) Any return visits for adjustments/modifications of this splint for > he next 90 days. > If I understand correctly, I am able to charge an orthotic fitting charge on > he day I make the splint and any return visits for the time I do training > ith the patient. > Is this a correct understanding? > always wondered why the price on these codes was so high, but now that I > nderstand it includes any return visits for modification and the initial > valuation I can more clearly can understand. > hanks, > shley Kelley, OTR/L, CLT > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2011 Report Share Posted January 31, 2011 Barry Well over a decade ago I attempted to negotiate a national agreement for the organization I worked for with United Healthcare. We had multiple clinics in rural Tennessee markets that were getting upwards of $125 per hour of service at out of network rates. I wound up speaking with someone higher up in their Edina, MN offices (the Beverly Hills area of Minneapolis/St. , or so the cake eaters tell me). We were looking to acquire a PT clinic operation in the Atlanta, GA area and were willing to concede our rural markets if we could get a national contract for these Atlanta clinics at a reasonable rate (the contract rate at that time in Atlanta was $25 per visit whether you needed that much or not). They wouldn't do the deal and one think that struck me is that the national/regional person I was speaking with had witnessed physical therapy in a hospital once. I believe that is the problem therapists are encountering when attempting to broker deals with " predatory " insurance companies. If therapists are willing to accept Unilateral Contracts with poor reimbursement, insurers have no incentive to change. I am glad to read that you have opted out of Horizon! I hope other New Jersey providers will also look at their practices and ask themselves if the terms being offered are fair and equitable. The more therapists that choose to cancel their contracts and simplify their lives (although they might have a difficult transition time), the better all therapists chances of getting better and more equitable terms. More importantly, how therapeutic will it be to sit down with your patients to let them know, " Gee, 10 years ago we were getting paid $70 per visit. then about 5 years ago they arbitrarily reduced our reimbursement to $58 per visit. Gasoline has almost tripled in that same time span and my rent and other expenses have went up by X. " Not to mention that once a patient is on your side, they will lay into their insurer and let their employers know as well. You could provide them with a template of what their letter might say as a patient service. For those of you that are thinking this one through, how many units of service can you provide at a loss until things turn around and you make up the deficit up on volume? If you cannot solve this equation then you have a future ahead of you in our United States Legislature. I'm not sayin'..., I'm just sayin'! Jim Hall, CPA <///>< General Manager Rehab Management Services, LLC 222-3rd Street SE, Suite 610 Cedar Rapids, IA 52401 319/892-0142 visit our website at: www.rehabmgmt.com cold laser > > What all do you all think of the cold laser? Is it billable? Do you own it? > ease it? Getting good results with? > What say you???? > > Mark Niles PT, MS, CSCS > rthopedic Specialists PA > niles@... > 54-720-7448 x3 > 54-720-9042 fax > This message, together with any attachments, is intended only for the > ddressee. It may contain information which is legally privileged, > onfidential and exempt from disclosure. If you are not the intended > ecipient, you are hereby notified that any disclosure, copying, > istribution, use, or any action or reliance on this communication is > trictly prohibited. If you have received this e-mail in error, please > otify the sender immediately by telephone ( x3) or by return > -mail and delete the message, along with any attachments > > From: PTManager [mailto:PTManager ] On Behalf > f nygaardsabs > ent: Friday, January 28, 2011 9:08 AM > o: PTManager > ubject: L-Code Clarification > > > > had a question for the group about L-codes. When reading up on this charge > ode it is my understanding that this code includes the: > ) Evaluation > ) Fitting of the splint > ) Material and supplies > ) Any return visits for adjustments/modifications of this splint for > he next 90 days. > If I understand correctly, I am able to charge an orthotic fitting charge on > he day I make the splint and any return visits for the time I do training > ith the patient. > Is this a correct understanding? > always wondered why the price on these codes was so high, but now that I > nderstand it includes any return visits for modification and the initial > valuation I can more clearly can understand. > hanks, > shley Kelley, OTR/L, CLT > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2011 Report Share Posted January 31, 2011 Barry Well over a decade ago I attempted to negotiate a national agreement for the organization I worked for with United Healthcare. We had multiple clinics in rural Tennessee markets that were getting upwards of $125 per hour of service at out of network rates. I wound up speaking with someone higher up in their Edina, MN offices (the Beverly Hills area of Minneapolis/St. , or so the cake eaters tell me). We were looking to acquire a PT clinic operation in the Atlanta, GA area and were willing to concede our rural markets if we could get a national contract for these Atlanta clinics at a reasonable rate (the contract rate at that time in Atlanta was $25 per visit whether you needed that much or not). They wouldn't do the deal and one think that struck me is that the national/regional person I was speaking with had witnessed physical therapy in a hospital once. I believe that is the problem therapists are encountering when attempting to broker deals with " predatory " insurance companies. If therapists are willing to accept Unilateral Contracts with poor reimbursement, insurers have no incentive to change. I am glad to read that you have opted out of Horizon! I hope other New Jersey providers will also look at their practices and ask themselves if the terms being offered are fair and equitable. The more therapists that choose to cancel their contracts and simplify their lives (although they might have a difficult transition time), the better all therapists chances of getting better and more equitable terms. More importantly, how therapeutic will it be to sit down with your patients to let them know, " Gee, 10 years ago we were getting paid $70 per visit. then about 5 years ago they arbitrarily reduced our reimbursement to $58 per visit. Gasoline has almost tripled in that same time span and my rent and other expenses have went up by X. " Not to mention that once a patient is on your side, they will lay into their insurer and let their employers know as well. You could provide them with a template of what their letter might say as a patient service. For those of you that are thinking this one through, how many units of service can you provide at a loss until things turn around and you make up the deficit up on volume? If you cannot solve this equation then you have a future ahead of you in our United States Legislature. I'm not sayin'..., I'm just sayin'! Jim Hall, CPA <///>< General Manager Rehab Management Services, LLC 222-3rd Street SE, Suite 610 Cedar Rapids, IA 52401 319/892-0142 visit our website at: www.rehabmgmt.com cold laser > > What all do you all think of the cold laser? Is it billable? Do you own it? > ease it? Getting good results with? > What say you???? > > Mark Niles PT, MS, CSCS > rthopedic Specialists PA > niles@... > 54-720-7448 x3 > 54-720-9042 fax > This message, together with any attachments, is intended only for the > ddressee. It may contain information which is legally privileged, > onfidential and exempt from disclosure. If you are not the intended > ecipient, you are hereby notified that any disclosure, copying, > istribution, use, or any action or reliance on this communication is > trictly prohibited. If you have received this e-mail in error, please > otify the sender immediately by telephone ( x3) or by return > -mail and delete the message, along with any attachments > > From: PTManager [mailto:PTManager ] On Behalf > f nygaardsabs > ent: Friday, January 28, 2011 9:08 AM > o: PTManager > ubject: L-Code Clarification > > > > had a question for the group about L-codes. When reading up on this charge > ode it is my understanding that this code includes the: > ) Evaluation > ) Fitting of the splint > ) Material and supplies > ) Any return visits for adjustments/modifications of this splint for > he next 90 days. > If I understand correctly, I am able to charge an orthotic fitting charge on > he day I make the splint and any return visits for the time I do training > ith the patient. > Is this a correct understanding? > always wondered why the price on these codes was so high, but now that I > nderstand it includes any return visits for modification and the initial > valuation I can more clearly can understand. > hanks, > shley Kelley, OTR/L, CLT > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2011 Report Share Posted February 1, 2011 From Jim Hall: " ...how many units of service can you provide at a loss until things turn around and you make up the deficit up on volume? " This is a bottom line question, and from the macro-economic view, it is no joke. These days, in most every economic activity at most every economic level, expenses are threatening to creep beyond revenues. For certain entities (notably our federal government and many state and municipal governments) the solvency line has long since been crossed. When things progress so far that only a legislator can ignore how deep the hole is, the solution is to lower standards of living for those who pay the bills. That is happening, right now. Medical care, despite provider grumblings, has been uniquely resistant to solvency pressures, as evidenced by persistently higher rates of medical care inflation in comparison to that of other services and products. According to Bureau of Labor Statistics data, from August 2000 to August 2010 health care inflation increased by 48%, while the Consumer Price Index rose by 26%. During the last year of that period, according to Standard and Poors, per capita health care costs increased by 7.32% on average---above the 1.1% overall inflation rate for the same period. One would think that it is only a matter of time before medical providers will be subject to the same pressures as most everybody else, to absorb some of the fix by reducing their standard of living. And who knows... maybe there will even be a miracle and mega-business CEOs, perhaps even insurance company CEOs, will be forced to feel some pain as well. Dave Milano, PT, Rehabilitation Director Laurel Health System ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of JHall49629@... Sent: Monday, January 31, 2011 5:38 PM To: PTManager Subject: Re: Digest Number 4330 Barry Well over a decade ago I attempted to negotiate a national agreement for the organization I worked for with United Healthcare. We had multiple clinics in rural Tennessee markets that were getting upwards of $125 per hour of service at out of network rates. I wound up speaking with someone higher up in their Edina, MN offices (the Beverly Hills area of Minneapolis/St. , or so the cake eaters tell me). We were looking to acquire a PT clinic operation in the Atlanta, GA area and were willing to concede our rural markets if we could get a national contract for these Atlanta clinics at a reasonable rate (the contract rate at that time in Atlanta was $25 per visit whether you needed that much or not). They wouldn't do the deal and one think that struck me is that the national/regional person I was speaking with had witnessed physical therapy in a hospital once. I believe that is the problem therapists are encountering when attempting to broker deals with " predatory " insurance companies. If therapists are willing to accept Unilateral Contracts with poor reimbursement, insurers have no incentive to change. I am glad to read that you have opted out of Horizon! I hope other New Jersey providers will also look at their practices and ask themselves if the terms being offered are fair and equitable. The more therapists that choose to cancel their contracts and simplify their lives (although they might have a difficult transition time), the better all therapists chances of getting better and more equitable terms. More importantly, how therapeutic will it be to sit down with your patients to let them know, " Gee, 10 years ago we were getting paid $70 per visit. then about 5 years ago they arbitrarily reduced our reimbursement to $58 per visit. Gasoline has almost tripled in that same time span and my rent and other expenses have went up by X. " Not to mention that once a patient is on your side, they will lay into their insurer and let their employers know as well. You could provide them with a template of what their letter might say as a patient service. For those of you that are thinking this one through, how many units of service can you provide at a loss until things turn around and you make up the deficit up on volume? If you cannot solve this equation then you have a future ahead of you in our United States Legislature. I'm not sayin'..., I'm just sayin'! Jim Hall, CPA <///>< General Manager Rehab Management Services, LLC 222-3rd Street SE, Suite 610 Cedar Rapids, IA 52401 319/892-0142 visit our website at: www.rehabmgmt.com cold laser > > What all do you all think of the cold laser? Is it billable? Do you own it? > ease it? Getting good results with? > What say you???? > > Mark Niles PT, MS, CSCS > rthopedic Specialists PA > niles@...<mailto:niles%40orthospecpa.net> > 54-720-7448 x3 > 54-720-9042 fax > This message, together with any attachments, is intended only for the > ddressee. It may contain information which is legally privileged, > onfidential and exempt from disclosure. If you are not the intended > ecipient, you are hereby notified that any disclosure, copying, > istribution, use, or any action or reliance on this communication is > trictly prohibited. If you have received this e-mail in error, please > otify the sender immediately by telephone ( x3) or by return > -mail and delete the message, along with any attachments > > From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf > f nygaardsabs > ent: Friday, January 28, 2011 9:08 AM > o: PTManager <mailto:PTManager%40yahoogroups.com> > ubject: L-Code Clarification > > > > had a question for the group about L-codes. When reading up on this charge > ode it is my understanding that this code includes the: > ) Evaluation > ) Fitting of the splint > ) Material and supplies > ) Any return visits for adjustments/modifications of this splint for > he next 90 days. > If I understand correctly, I am able to charge an orthotic fitting charge on > he day I make the splint and any return visits for the time I do training > ith the patient. > Is this a correct understanding? > always wondered why the price on these codes was so high, but now that I > nderstand it includes any return visits for modification and the initial > valuation I can more clearly can understand. > hanks, > shley Kelley, OTR/L, CLT > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2011 Report Share Posted February 1, 2011 From Jim Hall: " ...how many units of service can you provide at a loss until things turn around and you make up the deficit up on volume? " This is a bottom line question, and from the macro-economic view, it is no joke. These days, in most every economic activity at most every economic level, expenses are threatening to creep beyond revenues. For certain entities (notably our federal government and many state and municipal governments) the solvency line has long since been crossed. When things progress so far that only a legislator can ignore how deep the hole is, the solution is to lower standards of living for those who pay the bills. That is happening, right now. Medical care, despite provider grumblings, has been uniquely resistant to solvency pressures, as evidenced by persistently higher rates of medical care inflation in comparison to that of other services and products. According to Bureau of Labor Statistics data, from August 2000 to August 2010 health care inflation increased by 48%, while the Consumer Price Index rose by 26%. During the last year of that period, according to Standard and Poors, per capita health care costs increased by 7.32% on average---above the 1.1% overall inflation rate for the same period. One would think that it is only a matter of time before medical providers will be subject to the same pressures as most everybody else, to absorb some of the fix by reducing their standard of living. And who knows... maybe there will even be a miracle and mega-business CEOs, perhaps even insurance company CEOs, will be forced to feel some pain as well. Dave Milano, PT, Rehabilitation Director Laurel Health System ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of JHall49629@... Sent: Monday, January 31, 2011 5:38 PM To: PTManager Subject: Re: Digest Number 4330 Barry Well over a decade ago I attempted to negotiate a national agreement for the organization I worked for with United Healthcare. We had multiple clinics in rural Tennessee markets that were getting upwards of $125 per hour of service at out of network rates. I wound up speaking with someone higher up in their Edina, MN offices (the Beverly Hills area of Minneapolis/St. , or so the cake eaters tell me). We were looking to acquire a PT clinic operation in the Atlanta, GA area and were willing to concede our rural markets if we could get a national contract for these Atlanta clinics at a reasonable rate (the contract rate at that time in Atlanta was $25 per visit whether you needed that much or not). They wouldn't do the deal and one think that struck me is that the national/regional person I was speaking with had witnessed physical therapy in a hospital once. I believe that is the problem therapists are encountering when attempting to broker deals with " predatory " insurance companies. If therapists are willing to accept Unilateral Contracts with poor reimbursement, insurers have no incentive to change. I am glad to read that you have opted out of Horizon! I hope other New Jersey providers will also look at their practices and ask themselves if the terms being offered are fair and equitable. The more therapists that choose to cancel their contracts and simplify their lives (although they might have a difficult transition time), the better all therapists chances of getting better and more equitable terms. More importantly, how therapeutic will it be to sit down with your patients to let them know, " Gee, 10 years ago we were getting paid $70 per visit. then about 5 years ago they arbitrarily reduced our reimbursement to $58 per visit. Gasoline has almost tripled in that same time span and my rent and other expenses have went up by X. " Not to mention that once a patient is on your side, they will lay into their insurer and let their employers know as well. You could provide them with a template of what their letter might say as a patient service. For those of you that are thinking this one through, how many units of service can you provide at a loss until things turn around and you make up the deficit up on volume? If you cannot solve this equation then you have a future ahead of you in our United States Legislature. I'm not sayin'..., I'm just sayin'! Jim Hall, CPA <///>< General Manager Rehab Management Services, LLC 222-3rd Street SE, Suite 610 Cedar Rapids, IA 52401 319/892-0142 visit our website at: www.rehabmgmt.com cold laser > > What all do you all think of the cold laser? Is it billable? Do you own it? > ease it? Getting good results with? > What say you???? > > Mark Niles PT, MS, CSCS > rthopedic Specialists PA > niles@...<mailto:niles%40orthospecpa.net> > 54-720-7448 x3 > 54-720-9042 fax > This message, together with any attachments, is intended only for the > ddressee. It may contain information which is legally privileged, > onfidential and exempt from disclosure. If you are not the intended > ecipient, you are hereby notified that any disclosure, copying, > istribution, use, or any action or reliance on this communication is > trictly prohibited. If you have received this e-mail in error, please > otify the sender immediately by telephone ( x3) or by return > -mail and delete the message, along with any attachments > > From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf > f nygaardsabs > ent: Friday, January 28, 2011 9:08 AM > o: PTManager <mailto:PTManager%40yahoogroups.com> > ubject: L-Code Clarification > > > > had a question for the group about L-codes. When reading up on this charge > ode it is my understanding that this code includes the: > ) Evaluation > ) Fitting of the splint > ) Material and supplies > ) Any return visits for adjustments/modifications of this splint for > he next 90 days. > If I understand correctly, I am able to charge an orthotic fitting charge on > he day I make the splint and any return visits for the time I do training > ith the patient. > Is this a correct understanding? > always wondered why the price on these codes was so high, but now that I > nderstand it includes any return visits for modification and the initial > valuation I can more clearly can understand. > hanks, > shley Kelley, OTR/L, CLT > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2011 Report Share Posted February 1, 2011 From Jim Hall: " ...how many units of service can you provide at a loss until things turn around and you make up the deficit up on volume? " This is a bottom line question, and from the macro-economic view, it is no joke. These days, in most every economic activity at most every economic level, expenses are threatening to creep beyond revenues. For certain entities (notably our federal government and many state and municipal governments) the solvency line has long since been crossed. When things progress so far that only a legislator can ignore how deep the hole is, the solution is to lower standards of living for those who pay the bills. That is happening, right now. Medical care, despite provider grumblings, has been uniquely resistant to solvency pressures, as evidenced by persistently higher rates of medical care inflation in comparison to that of other services and products. According to Bureau of Labor Statistics data, from August 2000 to August 2010 health care inflation increased by 48%, while the Consumer Price Index rose by 26%. During the last year of that period, according to Standard and Poors, per capita health care costs increased by 7.32% on average---above the 1.1% overall inflation rate for the same period. One would think that it is only a matter of time before medical providers will be subject to the same pressures as most everybody else, to absorb some of the fix by reducing their standard of living. And who knows... maybe there will even be a miracle and mega-business CEOs, perhaps even insurance company CEOs, will be forced to feel some pain as well. Dave Milano, PT, Rehabilitation Director Laurel Health System ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of JHall49629@... Sent: Monday, January 31, 2011 5:38 PM To: PTManager Subject: Re: Digest Number 4330 Barry Well over a decade ago I attempted to negotiate a national agreement for the organization I worked for with United Healthcare. We had multiple clinics in rural Tennessee markets that were getting upwards of $125 per hour of service at out of network rates. I wound up speaking with someone higher up in their Edina, MN offices (the Beverly Hills area of Minneapolis/St. , or so the cake eaters tell me). We were looking to acquire a PT clinic operation in the Atlanta, GA area and were willing to concede our rural markets if we could get a national contract for these Atlanta clinics at a reasonable rate (the contract rate at that time in Atlanta was $25 per visit whether you needed that much or not). They wouldn't do the deal and one think that struck me is that the national/regional person I was speaking with had witnessed physical therapy in a hospital once. I believe that is the problem therapists are encountering when attempting to broker deals with " predatory " insurance companies. If therapists are willing to accept Unilateral Contracts with poor reimbursement, insurers have no incentive to change. I am glad to read that you have opted out of Horizon! I hope other New Jersey providers will also look at their practices and ask themselves if the terms being offered are fair and equitable. The more therapists that choose to cancel their contracts and simplify their lives (although they might have a difficult transition time), the better all therapists chances of getting better and more equitable terms. More importantly, how therapeutic will it be to sit down with your patients to let them know, " Gee, 10 years ago we were getting paid $70 per visit. then about 5 years ago they arbitrarily reduced our reimbursement to $58 per visit. Gasoline has almost tripled in that same time span and my rent and other expenses have went up by X. " Not to mention that once a patient is on your side, they will lay into their insurer and let their employers know as well. You could provide them with a template of what their letter might say as a patient service. For those of you that are thinking this one through, how many units of service can you provide at a loss until things turn around and you make up the deficit up on volume? If you cannot solve this equation then you have a future ahead of you in our United States Legislature. I'm not sayin'..., I'm just sayin'! Jim Hall, CPA <///>< General Manager Rehab Management Services, LLC 222-3rd Street SE, Suite 610 Cedar Rapids, IA 52401 319/892-0142 visit our website at: www.rehabmgmt.com cold laser > > What all do you all think of the cold laser? Is it billable? Do you own it? > ease it? Getting good results with? > What say you???? > > Mark Niles PT, MS, CSCS > rthopedic Specialists PA > niles@...<mailto:niles%40orthospecpa.net> > 54-720-7448 x3 > 54-720-9042 fax > This message, together with any attachments, is intended only for the > ddressee. It may contain information which is legally privileged, > onfidential and exempt from disclosure. If you are not the intended > ecipient, you are hereby notified that any disclosure, copying, > istribution, use, or any action or reliance on this communication is > trictly prohibited. If you have received this e-mail in error, please > otify the sender immediately by telephone ( x3) or by return > -mail and delete the message, along with any attachments > > From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf > f nygaardsabs > ent: Friday, January 28, 2011 9:08 AM > o: PTManager <mailto:PTManager%40yahoogroups.com> > ubject: L-Code Clarification > > > > had a question for the group about L-codes. When reading up on this charge > ode it is my understanding that this code includes the: > ) Evaluation > ) Fitting of the splint > ) Material and supplies > ) Any return visits for adjustments/modifications of this splint for > he next 90 days. > If I understand correctly, I am able to charge an orthotic fitting charge on > he day I make the splint and any return visits for the time I do training > ith the patient. > Is this a correct understanding? > always wondered why the price on these codes was so high, but now that I > nderstand it includes any return visits for modification and the initial > valuation I can more clearly can understand. > hanks, > shley Kelley, OTR/L, CLT > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2011 Report Share Posted February 1, 2011 I would rather see 10 patient's at $100 then see 20 @ $50.00 Matt Capo, PT Accelerated Physical Therapy and Occupational Health, Inc Bay St. Louis and Diamondhead, Mississippi cold laser > > What all do you all think of the cold laser? Is it billable? Do you own it? > ease it? Getting good results with? > What say you???? > > Mark Niles PT, MS, CSCS > rthopedic Specialists PA > niles@... > 54-720-7448 x3 > 54-720-9042 fax > This message, together with any attachments, is intended only for the > ddressee. It may contain information which is legally privileged, > onfidential and exempt from disclosure. If you are not the intended > ecipient, you are hereby notified that any disclosure, copying, > istribution, use, or any action or reliance on this communication is > trictly prohibited. If you have received this e-mail in error, please > otify the sender immediately by telephone ( x3) or by return > -mail and delete the message, along with any attachments > > From: PTManager [mailto:PTManager ] On Behalf > f nygaardsabs > ent: Friday, January 28, 2011 9:08 AM > o: PTManager > ubject: L-Code Clarification > > > > had a question for the group about L-codes. When reading up on this charge > ode it is my understanding that this code includes the: > ) Evaluation > ) Fitting of the splint > ) Material and supplies > ) Any return visits for adjustments/modifications of this splint for > he next 90 days. > If I understand correctly, I am able to charge an orthotic fitting charge on > he day I make the splint and any return visits for the time I do training > ith the patient. > Is this a correct understanding? > always wondered why the price on these codes was so high, but now that I > nderstand it includes any return visits for modification and the initial > valuation I can more clearly can understand. > hanks, > shley Kelley, OTR/L, CLT > > Quote Link to comment Share on other sites More sharing options...
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