Aetna and its subsidiary/affiliate, Coventry, sent out an amendment to their provider agreement around April 1, 2016. This is an effort to circumvent new rules under Maine’s Workers Compensation laws that protects providers from having their claims discounted by silent PPO contracts that the provider never intended to apply to workers’ compensation claims. See this […]
Client Alert – Aetna/Coventry Amendment_April 2016 Read More »
You can access a spreadsheet of the workers’ compensation fee schedule for all years for the most frequently used PT codes here. For the complete 2016 fee schedule, click here.
Work Comp Fee Schedules Read More »
NEPPN Members: Please join us for the next NEPPN/Practice Management Network Meeting on Wednesday, Feb 17 from Noon-1 pm Topic: Payment Caps: When can you balance bill the patient for what the insurance doesn’t pay? Webinar Description: With Harvard Pilgrim’s recent implementation of a “daily cap” for PT services when they are provided by a
Monthly Webinar: Dealing with Payment Caps Read More »
In winter, Maine farmers sow relief for the aches and pains that grow all year: How a new generation of farmers takes care of themselves, with yoga, physical therapy and common sense. NEPPN Member, Ken Simons, PT, DPT, MS, OCS, was quoted throughout this fantastic article in the Portland Press Herald on Jan. 3, 2016 about
The Benefits of Having a Good Private Practice PT Read More »
As of 1/1/2016, Maine Anthem BCBS of Maine has been making patients responsible for paying a double or triple co-pays for each unit of 97110 charged versus one co-pay for each visit. This may be going on in other parts of the country as well. NEPPN is in the process of collecting the certificate of
Anthem BCBS charging patients mulitple copays per PT visit Read More »
If your Maine Workers’ Compensation claims have been repriced and you did not get paid your charges or the applicable fee schedule, whichever is less, you can get paid. It’s easy!
File Petitions for Payment for Underpaid Work Comp Claims! Read More »
A HIPAA Compliant Authorization to Disclose Protected Health Information Form must contain certain information and disclosures to be HIPAA compliant. In addition, an authorization cannot be combined with other consent forms. This Guidance on HIPAA Authorization Forms provides information on the requirements for a HIPAA compliant Authorization form and a template that you can use in your practice. It
HIPAA Authorizations Read More »
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