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I recently started helping a lady that performs hippotherapy with children. How

would we bill for this service? We will be working with doctors plus private

insurance and Medicaid. I currently work in a hospital based outpatient

department and not sure how to do this on a private basis.

Huffman P.T., M.S., A.T.,C.

ville, IL

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Guest guest

We don't bill specifically for Mat-therapy, Bicycle-therapy or Swiss

Ball-therapy, but use these tools in the application of skilled PT

interventions for ROM, exercise, balance training, etc. How is using a

horse as a modality to achieve these ends any different if the PT is

still performing the skilled intervention with the same focus?

I am presuming billing Therex, Ther Activities, or some such. Just curious.

Most of the horses I know are busy creating new clients for me, but I

know there are saintly individuals in hippotherapy circles who are

helping with great therapy.

Anne MPT

ville, CA

>

> Please keep in mind the vast majority of insurance carriers do not

> knowingly reimburse for hippotherapy as many consider it

> investigational and experimental. The key word in the previous

> sentence is knowingly. Most likely, you will be reimbursed for your

> therapy services since most of your claims never get reviewed. The

> thing to think about is what would happen if some of your claims were

> reviewed and documentation showed you did hippotherapy? Would you get

> reimbursed if on a pre-pay audit or keep the money if on a post-pay audit?

>

> Rick Gawenda, PT

> President

> Gawenda Seminars & Consulting, Inc.

> www.gawendaseminars.com

>

> Follow Gawenda Seminars & Consulting, Inc on Facebook

>

> Register for the June 19, 2012 webinar conference: " ICD-9 Coding,

> Medicare Therapy Cap, CCI Edits & Modifiers Used in Outpatient Therapy " at

> https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1886

>

>

>

> From: Trevor Huffman <trevor.huffman@...

> <mailto:trevor.huffman%40passavanthospital.com>>

> Subject: Hippotherapy

> To: " 'PTManager

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

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

> Date: Friday, June 8, 2012, 2:06 PM

>

>

>

> Group:

>

> I recently started helping a lady that performs hippotherapy with

> children. How would we bill for this service? We will be working with

> doctors plus private insurance and Medicaid. I currently work in a

> hospital based outpatient department and not sure how to do this on a

> private basis.

>

> Huffman P.T., M.S., A.T.,C.

>

> ville, IL

>

>

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Guest guest

We don't bill specifically for Mat-therapy, Bicycle-therapy or Swiss

Ball-therapy, but use these tools in the application of skilled PT

interventions for ROM, exercise, balance training, etc. How is using a

horse as a modality to achieve these ends any different if the PT is

still performing the skilled intervention with the same focus?

I am presuming billing Therex, Ther Activities, or some such. Just curious.

Most of the horses I know are busy creating new clients for me, but I

know there are saintly individuals in hippotherapy circles who are

helping with great therapy.

Anne MPT

ville, CA

>

> Please keep in mind the vast majority of insurance carriers do not

> knowingly reimburse for hippotherapy as many consider it

> investigational and experimental. The key word in the previous

> sentence is knowingly. Most likely, you will be reimbursed for your

> therapy services since most of your claims never get reviewed. The

> thing to think about is what would happen if some of your claims were

> reviewed and documentation showed you did hippotherapy? Would you get

> reimbursed if on a pre-pay audit or keep the money if on a post-pay audit?

>

> Rick Gawenda, PT

> President

> Gawenda Seminars & Consulting, Inc.

> www.gawendaseminars.com

>

> Follow Gawenda Seminars & Consulting, Inc on Facebook

>

> Register for the June 19, 2012 webinar conference: " ICD-9 Coding,

> Medicare Therapy Cap, CCI Edits & Modifiers Used in Outpatient Therapy " at

> https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1886

>

>

>

> From: Trevor Huffman <trevor.huffman@...

> <mailto:trevor.huffman%40passavanthospital.com>>

> Subject: Hippotherapy

> To: " 'PTManager

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

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

> Date: Friday, June 8, 2012, 2:06 PM

>

>

>

> Group:

>

> I recently started helping a lady that performs hippotherapy with

> children. How would we bill for this service? We will be working with

> doctors plus private insurance and Medicaid. I currently work in a

> hospital based outpatient department and not sure how to do this on a

> private basis.

>

> Huffman P.T., M.S., A.T.,C.

>

> ville, IL

>

>

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Guest guest

Because some insurance carriers will say the tool, in this case, the horse, is

not a proven tool in the realm of therapy. It is a grey area that is up for

interpretation upon an audit by the insurance carrier. Just things to think

about.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> We don't bill specifically for Mat-therapy, Bicycle-therapy or Swiss

> Ball-therapy, but use these tools in the application of skilled PT

> interventions for ROM, exercise, balance training, etc. How is using a

> horse as a modality to achieve these ends any different if the PT is

> still performing the skilled intervention with the same focus?

> I am presuming billing Therex, Ther Activities, or some such. Just curious.

> Most of the horses I know are busy creating new clients for me, but I

> know there are saintly individuals in hippotherapy circles who are

> helping with great therapy.

>

> Anne MPT

> ville, CA

>

>

> >

> > Please keep in mind the vast majority of insurance carriers do not

> > knowingly reimburse for hippotherapy as many consider it

> > investigational and experimental. The key word in the previous

> > sentence is knowingly. Most likely, you will be reimbursed for your

> > therapy services since most of your claims never get reviewed. The

> > thing to think about is what would happen if some of your claims were

> > reviewed and documentation showed you did hippotherapy? Would you get

> > reimbursed if on a pre-pay audit or keep the money if on a post-pay audit?

> >

> > Rick Gawenda, PT

> > President

> > Gawenda Seminars & Consulting, Inc.

> > www.gawendaseminars.com

> >

> > Follow Gawenda Seminars & Consulting, Inc on Facebook

> >

> > Register for the June 19, 2012 webinar conference: " ICD-9 Coding,

> > Medicare Therapy Cap, CCI Edits & Modifiers Used in Outpatient Therapy " at

> > https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1886

> >

> >

> >

> > From: Trevor Huffman <trevor.huffman@...

> > <mailto:trevor.huffman%40passavanthospital.com>>

> > Subject: Hippotherapy

> > To: " 'PTManager

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

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

> > Date: Friday, June 8, 2012, 2:06 PM

> >

> >

> >

> > Group:

> >

> > I recently started helping a lady that performs hippotherapy with

> > children. How would we bill for this service? We will be working with

> > doctors plus private insurance and Medicaid. I currently work in a

> > hospital based outpatient department and not sure how to do this on a

> > private basis.

> >

> > Huffman P.T., M.S., A.T.,C.

> >

> > ville, IL

> >

> >

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Guest guest

Because some insurance carriers will say the tool, in this case, the horse, is

not a proven tool in the realm of therapy. It is a grey area that is up for

interpretation upon an audit by the insurance carrier. Just things to think

about.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> We don't bill specifically for Mat-therapy, Bicycle-therapy or Swiss

> Ball-therapy, but use these tools in the application of skilled PT

> interventions for ROM, exercise, balance training, etc. How is using a

> horse as a modality to achieve these ends any different if the PT is

> still performing the skilled intervention with the same focus?

> I am presuming billing Therex, Ther Activities, or some such. Just curious.

> Most of the horses I know are busy creating new clients for me, but I

> know there are saintly individuals in hippotherapy circles who are

> helping with great therapy.

>

> Anne MPT

> ville, CA

>

>

> >

> > Please keep in mind the vast majority of insurance carriers do not

> > knowingly reimburse for hippotherapy as many consider it

> > investigational and experimental. The key word in the previous

> > sentence is knowingly. Most likely, you will be reimbursed for your

> > therapy services since most of your claims never get reviewed. The

> > thing to think about is what would happen if some of your claims were

> > reviewed and documentation showed you did hippotherapy? Would you get

> > reimbursed if on a pre-pay audit or keep the money if on a post-pay audit?

> >

> > Rick Gawenda, PT

> > President

> > Gawenda Seminars & Consulting, Inc.

> > www.gawendaseminars.com

> >

> > Follow Gawenda Seminars & Consulting, Inc on Facebook

> >

> > Register for the June 19, 2012 webinar conference: " ICD-9 Coding,

> > Medicare Therapy Cap, CCI Edits & Modifiers Used in Outpatient Therapy " at

> > https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1886

> >

> >

> >

> > From: Trevor Huffman <trevor.huffman@...

> > <mailto:trevor.huffman%40passavanthospital.com>>

> > Subject: Hippotherapy

> > To: " 'PTManager

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

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

> > Date: Friday, June 8, 2012, 2:06 PM

> >

> >

> >

> > Group:

> >

> > I recently started helping a lady that performs hippotherapy with

> > children. How would we bill for this service? We will be working with

> > doctors plus private insurance and Medicaid. I currently work in a

> > hospital based outpatient department and not sure how to do this on a

> > private basis.

> >

> > Huffman P.T., M.S., A.T.,C.

> >

> > ville, IL

> >

> >

Link to comment
Share on other sites

Guest guest

Because some insurance carriers will say the tool, in this case, the horse, is

not a proven tool in the realm of therapy. It is a grey area that is up for

interpretation upon an audit by the insurance carrier. Just things to think

about.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> We don't bill specifically for Mat-therapy, Bicycle-therapy or Swiss

> Ball-therapy, but use these tools in the application of skilled PT

> interventions for ROM, exercise, balance training, etc. How is using a

> horse as a modality to achieve these ends any different if the PT is

> still performing the skilled intervention with the same focus?

> I am presuming billing Therex, Ther Activities, or some such. Just curious.

> Most of the horses I know are busy creating new clients for me, but I

> know there are saintly individuals in hippotherapy circles who are

> helping with great therapy.

>

> Anne MPT

> ville, CA

>

>

> >

> > Please keep in mind the vast majority of insurance carriers do not

> > knowingly reimburse for hippotherapy as many consider it

> > investigational and experimental. The key word in the previous

> > sentence is knowingly. Most likely, you will be reimbursed for your

> > therapy services since most of your claims never get reviewed. The

> > thing to think about is what would happen if some of your claims were

> > reviewed and documentation showed you did hippotherapy? Would you get

> > reimbursed if on a pre-pay audit or keep the money if on a post-pay audit?

> >

> > Rick Gawenda, PT

> > President

> > Gawenda Seminars & Consulting, Inc.

> > www.gawendaseminars.com

> >

> > Follow Gawenda Seminars & Consulting, Inc on Facebook

> >

> > Register for the June 19, 2012 webinar conference: " ICD-9 Coding,

> > Medicare Therapy Cap, CCI Edits & Modifiers Used in Outpatient Therapy " at

> > https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1886

> >

> >

> >

> > From: Trevor Huffman <trevor.huffman@...

> > <mailto:trevor.huffman%40passavanthospital.com>>

> > Subject: Hippotherapy

> > To: " 'PTManager

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

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

> > Date: Friday, June 8, 2012, 2:06 PM

> >

> >

> >

> > Group:

> >

> > I recently started helping a lady that performs hippotherapy with

> > children. How would we bill for this service? We will be working with

> > doctors plus private insurance and Medicaid. I currently work in a

> > hospital based outpatient department and not sure how to do this on a

> > private basis.

> >

> > Huffman P.T., M.S., A.T.,C.

> >

> > ville, IL

> >

> >

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