Log in
<< First  < Prev   1   2   Next >  Last >> 
  • 24 Mar 2020 7:17 PM | Chuck Felder - iPT Exec Dir (Administrator)

    Here are the files for the COVID-19 Webinar. A link to the recording will be posted later and will be sent directly to everyone that registered. Sorry we were not able to accomodate all who wanted to get on the webinar.

    COVID-19 Town Hall Files

    COVID-19 Town Hall Video

  • 12 Mar 2020 1:32 PM | Chuck Felder - iPT Exec Dir (Administrator)

    We have heard of a variety of efforts that clinics are taking to help reduce any negative impact on patient care, visits or business operations in their clinics.

    Chuck Felder drafted this notice for his clients and is happy to share it with iPT's e-mail list. This is meant to be posted in your clinic. You can customize this as appropriate for your office.  

    Obviously, this is also a key time to place extra efforts on cleaning all surfaces in your office that are frequently touched like counters, door knobs, weights, wands, etc.

    Let's do our part to reduce the spread!  

    COVID-19 Notice.docx

  • 18 Oct 2019 10:48 AM | Chuck Felder - iPT Exec Dir (Administrator)

    Anthem Is At It Again. Why can't they get it right?

    We've learned from multiple members that Anthem is once again denying claims for no AIM authorization, even though AIM is NOT REQUIRED at this time.

    Complain to DMHC. Hopefully they will push Anthem to fix this NOW!

  • 6 Sep 2019 4:26 PM | Chuck Felder - iPT Exec Dir (Administrator)

    Our attorney reviewed the revised contract from Anthem date 8/12/2019. Click on the link below:

    Anthem Revised Contract Analysis 08-26-2019

  • 23 Aug 2019 2:08 PM | Chuck Felder - iPT Exec Dir (Administrator)

    We've heard from members that they want to know what the Fee Schedule is for Medicare and CA Worker's Compensation for their locality. There are 32 localities in California, organized by COUNTY. In some cases multiple Counties are combined into one locality. 

    We have created a Medicare & Work Comp allowed amount calculator for each locality in CA. The files are organized by Medicare Locality number.

    Most Northern & Central California Localities start with 0111...

    Most Southern California Localities start with 0118...

    Use the Medicare & CA WC Allowed tab to play "what-if" scenarios so you can see what various code combinations pay. 

    This workbook can be quite helpful in determining if you should accept a contract requiring discounts off the Medicare Fee Schedule or the Official Medical Fee Schedule (OMFS) for California Worker's Compensation.

    Members CLICK HERE to go the Calculator page.

    Non-members CLICK HERE to jump to the Join Now page.

  • 24 Jul 2019 9:39 AM | Chuck Felder - iPT Exec Dir (Administrator)

    This is an updated version of information shared with Anthem, DMHC and the Department of Insurance and is designed to assist practice owners in determining if signing the new Anthem contract is in the providers, or their patients, best interests. It is a rather lengthy document as it discusses the rationale and compares specific sections of the contract to existing law.

    CLICK HERE to download your copy

  • 15 Jul 2019 7:40 AM | Chuck Felder - iPT Exec Dir (Administrator)

    This analysis of the Anthem Blue Cross contract due 8/1/19 was prepared by our legal counsel. It is NOT legal advice, you should seek input from your individual advisers.

    However, this contract raises some significant concerns. We strongly urge you to review it and the contract to determine if signing this contract is in your best interests.  Click HERE to download.

  • 27 Jun 2019 5:26 PM | Chuck Felder - iPT Exec Dir (Administrator)

    Use this help your patients understand how the Anthem - AIM pre-authorization process affects their care.

    CLICK HERE to download the sample Patient Notice Word doc that you can modify as desired

  • 25 Jun 2019 10:43 AM | Chuck Felder - iPT Exec Dir (Administrator)

    This handout is from AIM regarding the authorization process.

    CLICK HERE to download the PDF.

  • 20 Jun 2019 9:17 AM | Chuck Felder - iPT Exec Dir (Administrator)

    Cigna and American Specialty Health Agree to Pay $11.8 million 
    in Settlement with Chiropractic Care Centers

    In another blow to middleman rationing activities we recently learned that in April Cigna & American Specialty Health (ASH) agreed to an $11.8 million settlement that will resolve litigation with a proposed class of chiropractic care centers whose patients were denied claims.

    One of the allegations in the case was that ASH's utilization management policies violate the Employee Retirement Income Security Act of 1974 (ERISA) as applied to chiropractic. ASH imposes a pre-authorization requirement after the first 26 visits, which violates the terms of the underlying employee health plans. The chiropractic centers filed a motion asking the judge to approve the agreement that requires American Specialty Health and Cigna to pay monetary compensation for claim denials and to make other changes to its business.

    According to the motion, the nearly $11.8 million settlement amount equals a substantial portion of what the centers would have received had Cigna approved and paid in full the claims that are the subject of the litigation. American Specialty Health also agreed to make certain business reforms, including adding more chiropractic associations or out-of-network providers to its Professional Affairs Health Advisory Committee and offering more free continuing education to providers. According to Mr. Hufford, the American Chiropractic Association now has a representative on the ASH Committee, on which the Illinois Chiropractic Society has had a representative for several years.

    American Specialty Health and Cigna have denied the allegations of the complaint and declined to comment on the settlement agreement. However, this resolution, if approved by the court, provides some compensation for ASH's failure to follow the terms of the affected patients' health plans.

    The attorneys involved in this case came to our 2017 Unencumbered Meeting in Long Beach seeking input on similar situations involving physical therapy centers.

    FINALLY PAYERS & MIDDLEMEN ARE BEING HELD FINANCIALLY ACCOUNTABLE FOR THEIR ACTIONS THAT DELAY, DENY AND INTERFERE WITH PATIENT CARE. PERHAPS THIS WILL SPUR CHANGES IN THEIR BEHAVIOR.

    In any case, iPT and our members will stay diligent in monitoring how Cigna & ASH delay, deny and interfere with patient care in our physical therapy world.

<< First  < Prev   1   2   Next >  Last >> 

 
       

STAY CONNECTED

Contact Us

Powered by Wild Apricot Membership Software