tci Medicare Compliance & Reimbursement - 2007 Issue 19

THERAPISTS: 4 Tips Uncover Some Hidden Cash-Saving Options

Don't give up in the face of per diem reimbursement.Therapy providers across the country are starting to lose hope over whether they can afford to run their practices, thanks to decreased reimbursement and multiple payment caps, such as per diem reimbursement. Case in point: In New Jersey, Horizon Blue Cross and Blue Shield caps a physical therapy visit at $58 per day, points out Ken Mailly, with Mailly & Inglett Consulting in Wayne, NJ. "On top of that cap, therapists are also limited to being reimbursed for three modalities per visit," never mind the stipulation of having...

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