Guest guest Posted January 28, 2011 Report Share Posted January 28, 2011 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...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.