RE: Re: BCBS Michigan

[Guest guest]

You have made your thoughts known J

The surrounding states all have substantially lower CORFs and rehab agencies

than Michigan, so in doing some research I am trying to isolate potential

reasons. One provider let it be known to me that they have a " facility "

contract with BC that requires them to be a facility type of either.

I do know of instances in which a PTA owns a " facility " and has PTs in

employment. They selected the model for an ownership purpose.

Other Michigan providers - please feel free to chime in..

J. Beckley, MS, MBA, CHC | President

Beckley & Associates LLC

P | F

<http://nancybeckley.com/> nancybeckley.com |

<http://rehabcomplianceblog.com/> rehabcomplianceblog.com

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From: PTManager [mailto:PTManager ] On Behalf

Of

Sent: Tuesday, June 05, 2012 4:28 PM

To: PTManager

Subject: Re: BCBS Michigan

I really can't think of any good reason to be a " facility " private practice

in Michigan. Only justification to me is if the owner is not a licensed

therapist and we all n

Know how I feel about that.

> >

> > Hi, -

> >

> > As I recall from an effort to buy a couple of Michigan Rehab Agencies

> > several years ago, Michigan BCBS chose to only accept PT/OT/SLP

providers

> > who were Medicare certified Rehab agencies. Subsequently, there were few

> > opportunities for PTPPs.

> >

> > Things may have changed. Looking forward to seeing you in Tampa later

this

> > week at the APTA Conference.

> >

> > Warmest regards,

> > Dick

> >

> > Dr. Hillyer

> > Hillyer Consulting

> > 700 El Dorado Pkwy W.

> > Cape Coral, FL 33914

> >

> > Mobile

> > www.DickHillyer.com <http://www.dickhillyer.com/>

> > RHillyer@

> > @RHillyer

> > KK4HQE

> >

> >

> > _____

> >

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

<mailto:PTManager%40yahoogroups.com>

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

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

> Behalf

> > Of Beckley

> > Sent: Tuesday, June 05, 2012 10:39 AM

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

<mailto:PTManager%40yahoogroups.com>

> > Subject: BCBS Michigan

> >

> >

> >

> >

> > For traditional BCBS in Michigan, I am interested in knowing if Michigan

> > providers are enrolled as rehab agencies or CORFs vs. private practice.

I

> > know there are a number of Michigan folks on the list.

> >

> > I am doing some work with NARA (National Association of Rehab Providers

> and

> > Agencies) and noticed the unusually high number of both rehab agencies

and

> > CORFs in Michigan on the CMS list that we just obtained. I am curious to

> > know if BCBS traditional (not BCN), requires this in their participation

> > agreements and contracts, or alternatively reimburses at a differential

> for

> > one or the other.

> >

> > Thank You

> >

> > J. Beckley, MS, MBA, CHC | President

> > Beckley & Associates LLC

> >

> > P | F

> >

> > <http://nancybeckley.com/> nancybeckley.com |

> > <http://rehabcomplianceblog.com/> rehabcomplianceblog.com

> >

> > <http://nancybeckley.com/> Description: Description: Description: Logo

for

> > email signature3

> >

> > <http://www.linkedin.com/in/nancybeckley> Description: Description:

> > ZA102637857 Linked In Icon <http://www.twitter.com/nancybeckley>

> > Description: Description: ZA102637858 Twitter Icon

> >

> >