We have reliable information that the following health plans DO NOT require AIM pre-authorization in Maine: Maine Health Maine Teacher’s Association (MEA Trust) CMP Federal BCBS AIM’s message when you try to obtain pre-auth for these plans tells you to call Anthem. You do not need to do this. I recommend, however, that you ask […]
Plans not requiring AIM pre-authorization Read More »
Q: My patient has a Medicare Supplemental Insurance Plan. She wants to know if she can submit her claims to the supplemental insurance plan without submitting to Medicare first. Should I give her a statement to submit? A: Some supplemental plans may reimburse their insureds for medically necessary services provided by unenrolled providers without requiring
Can my patient submit a claim to their supplemental insurance plan? Read More »
Anthem Requiring AIM Pre-authorization for All Commercial Claims as of Nov. 1, 2019 Anthem and AIM have announced that the new effective date for requiring AIM pre-authorization for commercial plans will be November 1, 2019. If you think you will be seeing existing commercial patients past Nov. 1, you will need to get pre-authorization before
Anthem/Aim Pre-auth Required Nov. 1, 2019 Read More »
CLIENT ALERT Some Maine PT providers have received a letter from Anthem dated August 28, 2019 stating they did a review of claims between 2/1/2018 and 1/31/2019 and their utilization of CPT code 97110 was “outside the average utilization for your specialty.” The letter appears to be a template form. It is not even properly
Anthem and CPT Code 97110 Read More »
Advice on Superbills When you agree to see a Medicare beneficiary who has elected to pay you cash instead of seeing a Medicare enrolled provider you are accepting some risk that the patient may try to submit your receipts to Medicare for reimbursement or to obtain a denial for a Medicare Supplemental Plan. If the patient
Advice on Superbill Content Read More »
Member Webinar In this webinar, Gwen Simons discusses general employment laws that business owners should know, including the Fair Labor Standards Act, OSHA and independent contractor issues. Employment Law 101 Resources Employment Law 101_Slide Handout
Employment Law 101, Speaker: Gwen Simons Read More »
Member Webinar Resources Slides_Implementing Bodybuilding into Patient Care
Go Daddy Smart Line is a phone app that gives you a second line phone number so you can separate your business and personal texts and calls while carrying just one phone. Some providers are using this app for their business line, which raises the question – is it HIPAA compliant? Even though the app is
Go Daddy Smart Line – is it HIPAA Compliant? Read More »
Member Webinar In this webinar Gwen Simons discusses the standard of care for documentation and what is essential to document to support charges regardless of whether the PT is in or out-of-network. https://vimeo.com/347596338 Resources Slides_Documentation Essentials
Documentation Essentials, Speaker: Gwen Simons Read More »
If you are posting exercise on YouTube and are looking for a disclaimer to put on the page, try this: This video is not intended as medical or professional advice. Our YouTube exercise videos are provided for educational purposes only and are not intended to serve as medical or physical therapy advice to any individual. Any
You Tube Exercise Disclaimer Read More »
