Medicare Plus Blue Payment Errors

[Guest guest]

I wanted to take the time to give a shout out to Jim Hall at Rehab Management

Services.

Here in Michigan, Medicare Plus Blue was not paying according to CMS guidelines

for outpatient physical therapy services billing on a HCFA 1500. I still have no

idea how they errored on their payments to physical therapist providers. Of

course, the error benefited their bottom line.

Jim handles all the headaches of billing for me. When this issue arose, Jim

wrote a letter to a few different entities, one of which was Senator Debbie

Stabenow. I'm not sure what Stabenow's office did, but today I received a letter

from Medicare Plus Blue accepting responsibility for erroneous payments and

assurance the problem would be rectified so future claims would be processed

correctly. AND an actual check was received in a separate envelope today!

So, for those of you in Michigan - take a look at your claims processed by

Medicare Plus Blue. I have no idea if claims will be reprocessed without

Medicare Plus Blue being alerted. Also check your future claims. The error

occurred whenever 97110 was concurrently provided with a different procedural

code. I am under the assumption the error is to be corrected (although no

deadline as to when the correction would occur was provided).

Thank you, Jim... and all of Michigan should thank you too! You were absolutely

right in your opinion of how to tackle the problem AND you solved it in less

than 30 days! You rock!

Selena Horner, PT

ton, MI

[Guest guest]

I couldn't agree more. He is a real advocate and an asset to our profession.

Thanks Jim for all you do.

Ric Baird, MS, DPT, 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

>

> Jim has been a wonderful resource in many parts of the country for many years.

Great guy!

>

>

> >

> > I wanted to take the time to give a shout out to Jim Hall at Rehab

Management Services.

> >

> > Here in Michigan, Medicare Plus Blue was not paying according to CMS

guidelines for outpatient physical therapy services billing on a HCFA 1500. I

still have no idea how they errored on their payments to physical therapist

providers. Of course, the error benefited their bottom line.

> >

> > Jim handles all the headaches of billing for me. When this issue arose, Jim

wrote a letter to a few different entities, one of which was Senator Debbie

Stabenow. I'm not sure what Stabenow's office did, but today I received a letter

from Medicare Plus Blue accepting responsibility for erroneous payments and

assurance the problem would be rectified so future claims would be processed

correctly. AND an actual check was received in a separate envelope today!

> >

> > So, for those of you in Michigan - take a look at your claims processed by

Medicare Plus Blue. I have no idea if claims will be reprocessed without

Medicare Plus Blue being alerted. Also check your future claims. The error

occurred whenever 97110 was concurrently provided with a different procedural

code. I am under the assumption the error is to be corrected (although no

deadline as to when the correction would occur was provided).

> >

> > Thank you, Jim... and all of Michigan should thank you too! You were

absolutely right in your opinion of how to tackle the problem AND you solved it

in less than 30 days! You rock!

> >

> > Selena Horner, PT

> > ton, MI

> >

>

>

[Guest guest]

I couldn't agree more. He is a real advocate and an asset to our profession.

Thanks Jim for all you do.

Ric Baird, MS, DPT, 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

>

> Jim has been a wonderful resource in many parts of the country for many years.

Great guy!

>

>

> >

> > I wanted to take the time to give a shout out to Jim Hall at Rehab

Management Services.

> >

> > Here in Michigan, Medicare Plus Blue was not paying according to CMS

guidelines for outpatient physical therapy services billing on a HCFA 1500. I

still have no idea how they errored on their payments to physical therapist

providers. Of course, the error benefited their bottom line.

> >

> > Jim handles all the headaches of billing for me. When this issue arose, Jim

wrote a letter to a few different entities, one of which was Senator Debbie

Stabenow. I'm not sure what Stabenow's office did, but today I received a letter

from Medicare Plus Blue accepting responsibility for erroneous payments and

assurance the problem would be rectified so future claims would be processed

correctly. AND an actual check was received in a separate envelope today!

> >

> > So, for those of you in Michigan - take a look at your claims processed by

Medicare Plus Blue. I have no idea if claims will be reprocessed without

Medicare Plus Blue being alerted. Also check your future claims. The error

occurred whenever 97110 was concurrently provided with a different procedural

code. I am under the assumption the error is to be corrected (although no

deadline as to when the correction would occur was provided).

> >

> > Thank you, Jim... and all of Michigan should thank you too! You were

absolutely right in your opinion of how to tackle the problem AND you solved it

in less than 30 days! You rock!

> >

> > Selena Horner, PT

> > ton, MI

> >

>

>

[Guest guest]

And he does it with a calm demeanor and kind heart!!

Thanks so much Jim!

Vicki

Vicki Tilley PT,GCS

President/Founder

ElderFit In Home Rehab - North Carolina

(fax)

VSTilley@...

_www.Elderfitpt.com_ (http://www.elderfitpt.com/)

" Dedicated to helping seniors attain mobility and independence "

In a message dated 4/18/2011 7:11:03 P.M. Eastern Daylight Time,

RBaird5957@... writes:

I couldn't agree more. He is a real advocate and an asset to our

profession. Thanks Jim for all you do.

Ric Baird, MS, DPT, 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

>

> Jim has been a wonderful resource in many parts of the country for many

years. Great guy!

>

>

> >

> > I wanted to take the time to give a shout out to Jim Hall at Rehab

Management Services.

> >

> > Here in Michigan, Medicare Plus Blue was not paying according to CMS

guidelines for outpatient physical therapy services billing on a HCFA 1500.

I still have no idea how they errored on their payments to physical

therapist providers. Of course, the error benefited their bottom line.

> >

> > Jim handles all the headaches of billing for me. When this issue

arose, Jim wrote a letter to a few different entities, one of which was Senator

Debbie Stabenow. I'm not sure what Stabenow's office did, but today I

received a letter from Medicare Plus Blue accepting responsibility for

erroneous

payments and assurance the problem would be rectified so future claims

would be processed correctly. AND an actual check was received in a separate

envelope today!

> >

> > So, for those of you in Michigan - take a look at your claims

processed by Medicare Plus Blue. I have no idea if claims will be reprocessed

without Medicare Plus Blue being alerted. Also check your future claims. The

error occurred whenever 97110 was concurrently provided with a different

procedural code. I am under the assumption the error is to be corrected

(although no deadline as to when the correction would occur was provided).

> >

> > Thank you, Jim... and all of Michigan should thank you too! You were

absolutely right in your opinion of how to tackle the problem AND you solved

it in less than 30 days! You rock!

> >

> > Selena Horner, PT

> > ton, MI

> >

>

>

[Non-text portions of this message have been removed]

------------------------------------

In ALL messages to PTManager you must identify yourself, your discipline

and your location or else your message will not be approved to send to the

full group.

Physician Self Referal/Referral for Profit {POPTS} is a serious threat to

our professions. PTManager is not available to support POPTS-model

practices. The description of PTManager group includes the following:

" PTManager believes in and supports Therapist-owned Therapy Practices ONLY "

Messages relating to " how to set up a POPTS " will not be approved

PTManager encourages participation in your professional association. Join

APTA, AOTA or ASHA and participate now!

Follow Kovacek, PT on Facebook or Twitter.

PTManager blog: http://ptmanager.posterous.com/

[Guest guest]

And he does it with a calm demeanor and kind heart!!

Thanks so much Jim!

Vicki

Vicki Tilley PT,GCS

President/Founder

ElderFit In Home Rehab - North Carolina

(fax)

VSTilley@...

_www.Elderfitpt.com_ (http://www.elderfitpt.com/)

" Dedicated to helping seniors attain mobility and independence "

In a message dated 4/18/2011 7:11:03 P.M. Eastern Daylight Time,

RBaird5957@... writes:

I couldn't agree more. He is a real advocate and an asset to our

profession. Thanks Jim for all you do.

Ric Baird, MS, DPT, 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

>

> Jim has been a wonderful resource in many parts of the country for many

years. Great guy!

>

>

> >

> > I wanted to take the time to give a shout out to Jim Hall at Rehab

Management Services.

> >

> > Here in Michigan, Medicare Plus Blue was not paying according to CMS

guidelines for outpatient physical therapy services billing on a HCFA 1500.

I still have no idea how they errored on their payments to physical

therapist providers. Of course, the error benefited their bottom line.

> >

> > Jim handles all the headaches of billing for me. When this issue

arose, Jim wrote a letter to a few different entities, one of which was Senator

Debbie Stabenow. I'm not sure what Stabenow's office did, but today I

received a letter from Medicare Plus Blue accepting responsibility for

erroneous

payments and assurance the problem would be rectified so future claims

would be processed correctly. AND an actual check was received in a separate

envelope today!

> >

> > So, for those of you in Michigan - take a look at your claims

processed by Medicare Plus Blue. I have no idea if claims will be reprocessed

without Medicare Plus Blue being alerted. Also check your future claims. The

error occurred whenever 97110 was concurrently provided with a different

procedural code. I am under the assumption the error is to be corrected

(although no deadline as to when the correction would occur was provided).

> >

> > Thank you, Jim... and all of Michigan should thank you too! You were

absolutely right in your opinion of how to tackle the problem AND you solved

it in less than 30 days! You rock!

> >

> > Selena Horner, PT

> > ton, MI

> >

>

>

[Non-text portions of this message have been removed]

------------------------------------

In ALL messages to PTManager you must identify yourself, your discipline

and your location or else your message will not be approved to send to the

full group.

Physician Self Referal/Referral for Profit {POPTS} is a serious threat to

our professions. PTManager is not available to support POPTS-model

practices. The description of PTManager group includes the following:

" PTManager believes in and supports Therapist-owned Therapy Practices ONLY "

Messages relating to " how to set up a POPTS " will not be approved

PTManager encourages participation in your professional association. Join

APTA, AOTA or ASHA and participate now!

Follow Kovacek, PT on Facebook or Twitter.

PTManager blog: http://ptmanager.posterous.com/

[Guest guest]

And he does it with a calm demeanor and kind heart!!

Thanks so much Jim!

Vicki

Vicki Tilley PT,GCS

President/Founder

ElderFit In Home Rehab - North Carolina

(fax)

VSTilley@...

_www.Elderfitpt.com_ (http://www.elderfitpt.com/)

" Dedicated to helping seniors attain mobility and independence "

In a message dated 4/18/2011 7:11:03 P.M. Eastern Daylight Time,

RBaird5957@... writes:

I couldn't agree more. He is a real advocate and an asset to our

profession. Thanks Jim for all you do.

Ric Baird, MS, DPT, 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

>

> Jim has been a wonderful resource in many parts of the country for many

years. Great guy!

>

>

> >

> > I wanted to take the time to give a shout out to Jim Hall at Rehab

Management Services.

> >

> > Here in Michigan, Medicare Plus Blue was not paying according to CMS

guidelines for outpatient physical therapy services billing on a HCFA 1500.

I still have no idea how they errored on their payments to physical

therapist providers. Of course, the error benefited their bottom line.

> >

> > Jim handles all the headaches of billing for me. When this issue

arose, Jim wrote a letter to a few different entities, one of which was Senator

Debbie Stabenow. I'm not sure what Stabenow's office did, but today I

received a letter from Medicare Plus Blue accepting responsibility for

erroneous

payments and assurance the problem would be rectified so future claims

would be processed correctly. AND an actual check was received in a separate

envelope today!

> >

> > So, for those of you in Michigan - take a look at your claims

processed by Medicare Plus Blue. I have no idea if claims will be reprocessed

without Medicare Plus Blue being alerted. Also check your future claims. The

error occurred whenever 97110 was concurrently provided with a different

procedural code. I am under the assumption the error is to be corrected

(although no deadline as to when the correction would occur was provided).

> >

> > Thank you, Jim... and all of Michigan should thank you too! You were

absolutely right in your opinion of how to tackle the problem AND you solved

it in less than 30 days! You rock!

> >

> > Selena Horner, PT

> > ton, MI

> >

>

>

[Non-text portions of this message have been removed]

------------------------------------

In ALL messages to PTManager you must identify yourself, your discipline

and your location or else your message will not be approved to send to the

full group.

Physician Self Referal/Referral for Profit {POPTS} is a serious threat to

our professions. PTManager is not available to support POPTS-model

practices. The description of PTManager group includes the following:

" PTManager believes in and supports Therapist-owned Therapy Practices ONLY "

Messages relating to " how to set up a POPTS " will not be approved

PTManager encourages participation in your professional association. Join

APTA, AOTA or ASHA and participate now!

Follow Kovacek, PT on Facebook or Twitter.

PTManager blog: http://ptmanager.posterous.com/