RE: Neuromuscular Re-ed and BCBS of Tennessee

[Guest guest]

Meryl-

We are in Western NC and unfortunately deal with BCBS of Tennessee quite

frequently. They have not covered neuromuscular re-ed for some time.

It is very frustrating but our therapists are aware and do not charge it. If you

feel motivated and want push it with them, maybe we could work together to give

them some alternate evidence to consider...

Jeanne Bradshaw, PT, OCS

Director of Rehabilitation Services

Appalachian Regional Healthcare System

phone

fax

P Please consider the environment before printing this e-mail

From: PTManager [mailto:PTManager ] On Behalf Of

Freeman, Meryl

Sent: Tuesday, October 25, 2011 9:36 AM

To: 'PTManager '

Subject: Neuromuscular Re-ed and BCBS of Tennessee

Hello group,

We have a patient here in NC who has BCBS of Tennessee through and employer. She

had a long and complicated recovery from necrotizing fasciitis. BCBS of

Tennessee is denying all charges of neuromuscular re-ed (97112) saying it is

investigational. Whaaaaat???? Here is the link to the policy. Anyone have any

experience with this? The references at the bottom of the page are, shall we

say, interesting.

http://www.bcbst.com/mpmanual/!SSL!/WebHelp/Neuromuscular_ucation.htm

Meryl W. Freeman, MS PT

Manager, Rex Hospital Outpatient Rehab

2709 Blue Ridge Road, Suite 200

Raleigh, NC 27607

(office)

(cell)

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