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Payment Committee

Update: BCBS Announces Coding Policy Change

The Payer Advocacy Workgroup, on behalf of the MNAPTA, has been working to change BCBS’s coding policy over the past year. This coding change improves payment for physical therapy services. Here is the policy change notification sent out by BCBS of Minnesota in its Provider Bulletin.

The old policy, which had been in place 10+ years bundled Manual Therapy 97140 when billed in the same visit as Therapeutic Activities 97530, which meant that only the Therapeutic Activities code was paid for when both services were provided during the same visit. The new policy effectively unbundles those codes from one another, and both Manual Therapy and Therapeutic Activities will be paid when provided in the same visit.

It is because of the advocacy efforts of MNPTA that BCBS made the decision to change its policy. This is an important example of your membership dollars at work!

The Payer Advocacy Workgroup, as a workgroup of the Government Affairs Committee advocates on behalf of MNPTA members to Minnesota health plans. Advocacy includes informing and demonstrating the value of services provided by Physical Therapists and Physical Therapist Assistants, and influencing payers to change policies that are not in the best interest of our patients, our profession, or the payer. Please see the MNPTA document on Physical Therapy: Demonstrated Value.

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Committee Chair

 Lori Froehling

Purpose

The Payment Committee serves as a resource to MNPTA members regarding physical therapy payment and reimbursement issues, and to partner with the Government Affairs Committee to enhance relationships with third-party payers through dialogue and education regarding the practice of physical therapy. The Payment Committee includes members from all areas of physical therapy practice; each member contributes to issues, concerns or questions relating to their area of expertise.

Goals

  • Utilize expertise to respond to any member(s) that may have questions, concerns or issues regarding payment or reimbursement
  • Keep an ongoing log of questions and responses in the chapter office which will be used to drive educational offerings as a member benefit

Associated Workgroups

Payor Advocacy Workgroup 

Contact the Committee Chair

Would you like to know more about this committee? Are you interested in volunteering your time? If you have a comment, question, or would like to volunteer, click here to fill out the contact form. The committee chair will be in touch with you soon.

 

 

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