Guest guest Posted June 5, 2012 Report Share Posted June 5, 2012 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 ] On Behalf Of Beckley Sent: Tuesday, June 05, 2012 10:39 AM To: PTManager 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2012 Report Share Posted June 5, 2012 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 ] On Behalf Of Beckley Sent: Tuesday, June 05, 2012 10:39 AM To: PTManager 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2012 Report Share Posted June 5, 2012 I am a Michigan PT I am a Medicare PTPP I am a BCBSM Independent Physical Therapist (IPT) My Practices are also recognized as such BCBSM pays an IPT on the same fee schedule as a Medicare Rehab Agency or what BCBSM calls Out Patient Rehab Facility (OPT) > > 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 ] On Behalf > Of Beckley > Sent: Tuesday, June 05, 2012 10:39 AM > To: PTManager > 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2012 Report Share Posted June 5, 2012 I am a Michigan PT I am a Medicare PTPP I am a BCBSM Independent Physical Therapist (IPT) My Practices are also recognized as such BCBSM pays an IPT on the same fee schedule as a Medicare Rehab Agency or what BCBSM calls Out Patient Rehab Facility (OPT) > > 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 ] On Behalf > Of Beckley > Sent: Tuesday, June 05, 2012 10:39 AM > To: PTManager > 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2012 Report Share Posted June 5, 2012 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 <mailto:PTManager%40yahoogroups.com> ] On > Behalf > > Of Beckley > > Sent: Tuesday, June 05, 2012 10:39 AM > > To: PTManager <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 > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.