Policy keeps changing on reimbursement for physical therapy services…lower rates, increased hassle factor in getting paid and increased cost-sharing with patients. The WVPTA is working to improve the outcomes of the myriad of changes but the physical therapists and other office support staff needs to help patients understand the problems and engage them in data gathering and writing to the decision-makers.
The WVPTA has developed a Tool Kit for patients and physical therapists to use to advocate with the insurance industry and the WV Insurance Commissioner. Resource articles, background information, sample letters and a survey are available. The WVPTA encourages PT practices to utilize this information and set of tools.
High insurance copayments have made physical therapy too expensive for some patients.
Now PTs and patients are fighting back.
By Chris Hayhurst March 2012
Meryl Cadel just wants help. "What can you do for me?" she asks. "What can you do?" Cadel, age 59, has chronic back pain. Today, she says, cringing as she speaks, the pain is especially bad. But that's not her problem—or at least not the one that she's asking about.
Should a physical therapy session cost a patient as much as a visit to a neurosurgeon or other specialist?
Therapists think not.
They are backing proposals in several states to limit the amount insurers can require patients to pay for physical, occupational or speech therapy. Legislation is pending in Pennsylvania, Missouri and New York. Lawmakers in South Dakota and Kentucky have already passed
By: Eric Shaw, PT and Nancy Tonkin, Executive Director
The 2012 legislative session was extremely busy for the WVPTA due to a number of bills supported by the Chapter and a few introduced that we were active trying to amend. The Legislative Agenda for the year was adopted by the Board of Directors during the December meeting.
The profession continues to have a champion in Delegate Ryan J. Ferns, DPT (D, Ohio County) who introduced two of our major issues: HB 4426—co-pay bill and HB 4468— prohibition against discrimination for PTAs. The good news: both bills passed the House of Delegates unanimously but ran into road blocks by the insurance industry and PEIA in the Senate.
Topic: APS WV CareConnection® Medical PA Technical Training for PT/OT Date: Thursday, March 29, 2012 Time: 4:30 pm, Eastern Daylight Time Meeting Number: 493 110 403 (This meeting does not require a password.)
Audio is a separate function. Please call 1.888.242.1836 / Use Access Code 8489942
Also attached are instructions on how to logon to the Webex website: https://apshealthcare.webex.com
If you have any questions, or need any assistance, please feel free to contact APS by calling 1-800-346-8272, or emailing us at firstname.lastname@example.org. Thank you for your patience and your attention to this matter. We look forward to working with you soon! (If you are not a Physical or Occupational Provider, and have received this email in error, please disregard. This is ONLY for PT/OT providers. Thanks!)
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