According to Aetna's June OfficeLink Updates, the insurer will apply multiple procedure reductions to certain therapy procedures for dates of service beginning November 14. The procedure with the highest practice expense relative value unit will be allowed at 100%. Each additional therapy service performed by the same provider group on the same date of service will be allowed at 80%.
APTA is investigating to determine if this policy applies to all regions of the country, and whether the 20% decrease on subsequent services will be applied to the practice expense only—as is the case with Medicare's multiple payment procedure reduction policy—or if it is applied to the entire value of the procedure.
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