RE: RE: BC/BS denials of iontophoresis

[Guest guest]

Mr. Mourning,

I appreciate your feedback. I'm sure that like most things, it's

regional as far as what is and isn't covered. I'm going to do a lit

search on outcome based research to see if I can counter the denial and

if I find some good material, I'd be happy to share it on here.

Thanks again,

Curtis

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of Mourning, Todd

Sent: Wednesday, December 03, 2008 1:51 PM

To: 'PTManager '

Subject: RE: BC/BS denials of iontophoresis

Curtis, it depends where you are. We are in central IL and are mostly

denied here also but there are a few BC/BS sub plans that will cover.

Best to educate the pt and have them check their plan to see if it is

covered prior to rendering the service. As an aside, our Medicare FI no

longer pays ionto either. They claim that there is insufficient research

to justify the procedure. They have not been flexible in negotiating

this point. Hope that helps.

Todd Mourning, PT

Manager of Therapy Services

Abraham Lincoln Memorial Hospital

315 8th Street

Lincoln, IL 62656

(direct)

(fax)

mourning.todd@... <mailto:mourning.todd%40mhsil.com>

<mailto:mourning.todd@... <mailto:mourning.todd%40mhsil.com> >

________________________________

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ]

On Behalf Of Curtis Marti

Sent: Wednesday, December 03, 2008 9:44 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: BC/BS denials of iontophoresis

Dear Group,

Very strange...all the sudden, our outpatients have been denied payment

from BC/BS for iontophoresis. Has anyone else had trouble with this?

This is a very troubling change due to the effectiveness of using this

modality. Any supportive research leads to argue why it should be a

covered service?

Thanks!

Curtis

[Guest guest]

We had been covered in our area (central WI) up until about a month ago.

We are now receiving denials for this modality. It is my understanding

that Medicare no longer covers it in any region either.

Diane , PT

Langlade Hospital

Antigo, WI

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of Curtis Marti

Sent: Wednesday, December 03, 2008 3:01 PM

To: PTManager

Subject: RE: RE: BC/BS denials of iontophoresis

Mr. Mourning,

I appreciate your feedback. I'm sure that like most things, it's

regional as far as what is and isn't covered. I'm going to do a lit

search on outcome based research to see if I can counter the denial and

if I find some good material, I'd be happy to share it on here.

Thanks again,

Curtis

________________________________

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ]

On

Behalf Of Mourning, Todd

Sent: Wednesday, December 03, 2008 1:51 PM

To: 'PTManager <mailto:%27PTManager%40yahoogroups.com> '

Subject: RE: BC/BS denials of iontophoresis

Curtis, it depends where you are. We are in central IL and are mostly

denied here also but there are a few BC/BS sub plans that will cover.

Best to educate the pt and have them check their plan to see if it is

covered prior to rendering the service. As an aside, our Medicare FI no

longer pays ionto either. They claim that there is insufficient research

to justify the procedure. They have not been flexible in negotiating

this point. Hope that helps.

Todd Mourning, PT

Manager of Therapy Services

Abraham Lincoln Memorial Hospital

315 8th Street

Lincoln, IL 62656

(direct)

(fax)

mourning.todd@... <mailto:mourning.todd%40mhsil.com>

<mailto:mourning.todd%40mhsil.com>

<mailto:mourning.todd@... <mailto:mourning.todd%40mhsil.com>

<mailto:mourning.todd%40mhsil.com> >

________________________________

From: PTManager <mailto:PTManager%40yahoogroups.com>

<mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com>

<mailto:PTManager%40yahoogroups.com> ]

On Behalf Of Curtis Marti

Sent: Wednesday, December 03, 2008 9:44 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

<mailto:PTManager%40yahoogroups.com>

Subject: BC/BS denials of iontophoresis

Dear Group,

Very strange...all the sudden, our outpatients have been denied payment

from BC/BS for iontophoresis. Has anyone else had trouble with this?

This is a very troubling change due to the effectiveness of using this

modality. Any supportive research leads to argue why it should be a

covered service?

Thanks!

Curtis

[Guest guest]

We had been covered in our area (central WI) up until about a month ago.

We are now receiving denials for this modality. It is my understanding

that Medicare no longer covers it in any region either.

Diane , PT

Langlade Hospital

Antigo, WI

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of Curtis Marti

Sent: Wednesday, December 03, 2008 3:01 PM

To: PTManager

Subject: RE: RE: BC/BS denials of iontophoresis

Mr. Mourning,

I appreciate your feedback. I'm sure that like most things, it's

regional as far as what is and isn't covered. I'm going to do a lit

search on outcome based research to see if I can counter the denial and

if I find some good material, I'd be happy to share it on here.

Thanks again,

Curtis

________________________________

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ]

On

Behalf Of Mourning, Todd

Sent: Wednesday, December 03, 2008 1:51 PM

To: 'PTManager <mailto:%27PTManager%40yahoogroups.com> '

Subject: RE: BC/BS denials of iontophoresis

Curtis, it depends where you are. We are in central IL and are mostly

denied here also but there are a few BC/BS sub plans that will cover.

Best to educate the pt and have them check their plan to see if it is

covered prior to rendering the service. As an aside, our Medicare FI no

longer pays ionto either. They claim that there is insufficient research

to justify the procedure. They have not been flexible in negotiating

this point. Hope that helps.

Todd Mourning, PT

Manager of Therapy Services

Abraham Lincoln Memorial Hospital

315 8th Street

Lincoln, IL 62656

(direct)

(fax)

mourning.todd@... <mailto:mourning.todd%40mhsil.com>

<mailto:mourning.todd%40mhsil.com>

<mailto:mourning.todd@... <mailto:mourning.todd%40mhsil.com>

<mailto:mourning.todd%40mhsil.com> >

________________________________

From: PTManager <mailto:PTManager%40yahoogroups.com>

<mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com>

<mailto:PTManager%40yahoogroups.com> ]

On Behalf Of Curtis Marti

Sent: Wednesday, December 03, 2008 9:44 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

<mailto:PTManager%40yahoogroups.com>

Subject: BC/BS denials of iontophoresis

Dear Group,

Very strange...all the sudden, our outpatients have been denied payment

from BC/BS for iontophoresis. Has anyone else had trouble with this?

This is a very troubling change due to the effectiveness of using this

modality. Any supportive research leads to argue why it should be a

covered service?

Thanks!

Curtis