Orthonet

[Guest guest]

We received a letter this week that OrthoNet will be doing the management

for Humana for outpatient therapy services. OrthoNet is a new company to

our area and I am curious to hear feedback from the group about them. Have

any of you had any experience with this company? Thanks for your input.

Gabe Freyaldenhoven, PT

River Valley Therapy and Sports Medicine

[Guest guest]

We have used Orthonet for our Cigna, Oxford, and Healthnet carriers for

some time.

Unfortunately, while they deny very little requests, they only approve

about 5 visits each time (even when you have orders for anywhere from

8-12 visits, and the dx and POC supports - i.e. TKA). You still have to

submit objective data every 5 visits or less, depending on what they

deem fit to provide you.

It's a lot of paperwork/faxing but not much issues with denial of

authorizations.

They usually only authorize one dx at a time, as well; though they have

been known to give us separate authorizations for PT and OT when

provided simultaneously for two separate dx.

Good Luck!

Kimberley R. Palma

Business Manager for Operations

Eastern Connecticut Health Network (ECHN)

c/o Rockville General Hospital

Tel: x5579

Fax:

Pager:

_____

From: PTManager [mailto:PTManager ] On

Behalf Of Gabe Freyaldenhoven

Sent: Wednesday, December 03, 2008 5:12 PM

To: PTManager

Subject: Orthonet

We received a letter this week that OrthoNet will be doing the

management

for Humana for outpatient therapy services. OrthoNet is a new company to

our area and I am curious to hear feedback from the group about them.

Have

any of you had any experience with this company? Thanks for your input.

Gabe Freyaldenhoven, PT

River Valley Therapy and Sports Medicine

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