• Tuesday, October 04, 2011RSS Feed

    APTA Urges Aetna to Withdraw Multiple Procedure Payment Reduction Policy

    In a letter urging Aetna to withdraw its multiple procedure payment reduction (MPPR) payment policy, APTA calls the policy "unfair" and "arbitrary" and illustrates how it would result in underpayments for therapy services and ultimately jeopardize access to care for Aetna members. The association calls on Aetna to give more thorough consideration to the fact that the practice expense relative value units have already been reduced to avoid duplication when multiple services are provided in a single session and suggests it should take the time to ensure that individual services are based on the resources needed to deliver them.


    Comments

    I guess 'traditional' chiropractors have it right. Treat 60 to 70 patients a day at 3-5 minutes per patient. Charge much less per patient but make a significant income. Fits in with insurance direction quite well.
    Posted by Gary on 10/8/2011 8:00 AM
    Unfortunately, in response to Gary, we can't pop a neck to rehab tennis elbow. The private insurances will recognize are value. I encourage outpatient PTs NOT to work for large corporate rehab businesses that drive values down through volume networking.
    Posted by David on 10/12/2011 10:32 AM
    Always need a discussion of "value" for the dollar. If popping a neck in 3 minutes is a value, the go for it. If seeing 20 patients and billing out 20 hours of services in an 8 hour day is justified, I guess if you are willing to take the legal and ethical risk, go for it. I hope in the end that the value in PT will be realized through the reduction in medical and living costs (reduced tests, reduced surgery, earlier return to work, less time out of work). If insurance companies just focus on line item reductions, PT will lose.
    Posted by Herb Silver on 10/19/2011 8:28 AM
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