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
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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
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AIM Pre-authorization required 7/1/2019 Anthem will begin requiring pre-authorization for physical therapy visits through AIM Specialty Health beginning 7/1/2019. Per Laura Pray, Network Relations Consultant at Anthem in Maine, the requirements will be implemented for both fully insured and self-insured plans. Please note that your Anthem contract allows Blue Cross Blue Shield plans in other
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We’re pleased to have Dr. Bonnie Virag, PT and expert swimmer, give our webinar on May 15, 2019! Dr. Bonnie Virag is currently a dual credentialed Doctor of Physical Therapy and Certified Athletic Trainer, practicing full time in Pittsburgh, Pennsylvania. She has her own history as a competitive swimmer and is on a mission to
Anthem is starting to do audits on PT services. Some providers are being put on “pre-payment review” because their documentation is not meeting Anthem’s standards. Please review Anthem’s Clinical UM Guideline for PT services (CG-REHAB-04) published on 10/17/2018 for documentation requirements and other coverage policies. If you are audited and don’t agree with the outcome, especially
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Member Webinar Resources Slides Speaker Bio – Dr. Bonnie Virag
Member Webinar What are the proposals and how might they affect your practice? In this webinar we discuss the various Medicare For All proposals that are currently being discussed. Some eliminate private insurance and some only provide Medicare as a “public option.” The impact on providers varies with each proposal https://vimeo.com/336213667 Resources Medicare for All_slides_2019-03-20
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Member Webinar Guest speaker, Danielle Kroot, PT, DPT, is a USAT certified triathlon coach. She has a cash practice focusing on evaluating, coaching and treating runners in Portland, Maine. https://vimeo.com/simonsassociateslaw/review/318836251/b6685823a0 Resources Evaluating, coaching & treating runners – Slides Danielle’s contact information
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Do you need to know what the rules are for getting PT, OT and other services covered under Medicare, including what all the billing, coding and documentation rules are? The Medicare Benefit Policy Manual is where you need to look. PT, OT and Speech policies are in section 220 of Chapter 15, available here.
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Webinar for Maine Members This webinar was provided by Maggie Kelly and Amanda Arsenault of Community Health Options on the new procedure for notification/pre-authorization of PT services for CHO’s patients. The new procedure goes into effect Nov. 1, 2018. This webinar is applicable only to PTs who see CHO patients (whether you are in network
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