Guest guest Posted January 28, 2011 Report Share Posted January 28, 2011 Heidi Were these services provided by a PTA? Kevyn Soupiset, PT, MPT " Success often comes from taking a misstep in the right direction. " Progressive Therapy & Sports Medicine 117 W. 6th Larned, KS 67550 Ph: Fax www.progressive-larned.com <http://www.elocallink.tv/vp6/spon-fcsa_a.php?fvm=1 & sponid=AjUFMg5rVjtUYg== & v> http://www.elocallink.tv/vp6/spon-fcsa_a.php?fvm=1 & sponid=AjUFMg5rVjtUYg== & v From: PTManager [mailto:PTManager ] On Behalf Of Heidi Harmon Sent: Friday, January 28, 2011 1:18 PM To: PTManager Subject: BCBS of KC Hello All. Just got my EOB's for the first portions of Jan for patients billed and the therapy billed allowable was dropped by about $30.00 per hour allowing only $93.00 per hour for PT. I called the provider rep and waiting to hear her answer. I am hoping this is a mistake as I would have thought if they were reducing the allowables by approx $30 per hour I would have heard about it. Shocked and FRUSTRATED! Has anyone had any of the same issues in my area or otherwise? This is a game changer for sure! BCBS is 45% of our business. Thanks for any input you might have! Heidi Harmon Billing Manager 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 January 28, 2011 Report Share Posted January 28, 2011 Heidi: You don't say where you are located, but yes, these cuts were expected and especially if you are utilizing a PTA. They reduced PT's to 85% of MAP from 90%, they reduced reimbursement for TE, traction, and many other procedures plus in their infinite wisdom they reduced the amount they will reimburse the PTA to 50% of what they will reimburse the PT! Want a cash based option to add to the value of your practice? Call me, I have one (-: BCBS was/is 45% of our business as well. Ric Baird, MS, PT, ATC Working. Better. Together. Interactive Physical Therapy & Fitness 3405 NW Hunters Ridge Terrace Suite 300 Topeka, KS 66618 (785)246-2300 (P) (785)246-2301 (F) Interactive Physical Therapy 1709 SE 29th Street Suite 300-400 Topeka, KS 66605 (785)266-4600 (P) (785)266-4601 (F) www.interactiveptandfitness.com www.ipt.tsfl.com Sent from my iPhone > > Hello All. Just got my EOB's for the first portions of Jan for patients billed and the therapy billed allowable was dropped by about $30.00 per hour allowing only $93.00 per hour for PT. I called the provider rep and waiting to hear her answer. I am hoping this is a mistake as I would have thought if they were reducing the allowables by approx $30 per hour I would have heard about it. Shocked and FRUSTRATED! Has anyone had any of the same issues in my area or otherwise? This is a game changer for sure! BCBS is 45% of our business. > > Thanks for any input you might have! > > Heidi Harmon > Billing Manager > > 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 28, 2011 Report Share Posted January 28, 2011 Heidi: You don't say where you are located, but yes, these cuts were expected and especially if you are utilizing a PTA. They reduced PT's to 85% of MAP from 90%, they reduced reimbursement for TE, traction, and many other procedures plus in their infinite wisdom they reduced the amount they will reimburse the PTA to 50% of what they will reimburse the PT! Want a cash based option to add to the value of your practice? Call me, I have one (-: BCBS was/is 45% of our business as well. Ric Baird, MS, PT, ATC Working. Better. Together. Interactive Physical Therapy & Fitness 3405 NW Hunters Ridge Terrace Suite 300 Topeka, KS 66618 (785)246-2300 (P) (785)246-2301 (F) Interactive Physical Therapy 1709 SE 29th Street Suite 300-400 Topeka, KS 66605 (785)266-4600 (P) (785)266-4601 (F) www.interactiveptandfitness.com www.ipt.tsfl.com Sent from my iPhone > > Hello All. Just got my EOB's for the first portions of Jan for patients billed and the therapy billed allowable was dropped by about $30.00 per hour allowing only $93.00 per hour for PT. I called the provider rep and waiting to hear her answer. I am hoping this is a mistake as I would have thought if they were reducing the allowables by approx $30 per hour I would have heard about it. Shocked and FRUSTRATED! Has anyone had any of the same issues in my area or otherwise? This is a game changer for sure! BCBS is 45% of our business. > > Thanks for any input you might have! > > Heidi Harmon > Billing Manager > > 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 28, 2011 Report Share Posted January 28, 2011 No...PT Treated RE: BCBS of KC Heidi Were these services provided by a PTA? Kevyn Soupiset, PT, MPT " Success often comes from taking a misstep in the right direction. " Progressive Therapy & Sports Medicine 117 W. 6th Larned, KS 67550 Ph: Fax www.progressive-larned.com http://www.elocallink.tv/vp6/spon-fcsa_a.php?fvm=1 & sponid=AjUFMg5rVjtUYg== & > ttp://www.elocallink.tv/vp6/spon-fcsa_a.php?fvm=1 & sponid=AjUFMg5rVjtUYg== & v From: PTManager [mailto:PTManager ] On Behalf f Heidi Harmon ent: Friday, January 28, 2011 1:18 PM o: PTManager ubject: BCBS of KC ello All. Just got my EOB's for the first portions of Jan for patients illed and the therapy billed allowable was dropped by about $30.00 per hour llowing only $93.00 per hour for PT. I called the provider rep and waiting o hear her answer. I am hoping this is a mistake as I would have thought if hey were reducing the allowables by approx $30 per hour I would have heard bout it. Shocked and FRUSTRATED! Has anyone had any of the same issues in y area or otherwise? This is a game changer for sure! BCBS is 45% of our usiness. Thanks for any input you might have! Heidi Harmon illing Manager -----Original Message----- rom: Mark Niles <mniles@... <mailto:mniles%40orthospecpa.net> > o: PTManager <mailto:PTManager%40yahoogroups.com> ent: Fri, Jan 28, 2011 12:16 pm ubject: cold laser What all do you all think of the cold laser? Is it billable? Do you own it? ase it? Getting good results with? hat say you???? Mark Niles PT, MS, CSCS thopedic Specialists PA iles@... <mailto:niles%40orthospecpa.net> 4-720-7448 x3 4-720-9042 fax his message, together with any attachments, is intended only for the dressee. It may contain information which is legally privileged, nfidential and exempt from disclosure. If you are not the intended cipient, you are hereby notified that any disclosure, copying, stribution, use, or any action or reliance on this communication is rictly prohibited. If you have received this e-mail in error, please tify 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 ehalf nygaardsabs nt: Friday, January 28, 2011 9:08 AM : PTManager <mailto:PTManager%40yahoogroups.com> bject: L-Code Clarification had a question for the group about L-codes. When reading up on this charge de 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 e next 90 days. f I understand correctly, I am able to charge an orthotic fitting charge on e day I make the splint and any return visits for the time I do training th the patient. s this a correct understanding? lways wondered why the price on these codes was so high, but now that I derstand it includes any return visits for modification and the initial aluation I can more clearly can understand. anks, hley Kelley, OTR/L, CLT Quote Link to comment Share on other sites More sharing options...
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