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  • One Call Care Management to Change Referral Practices as Result of Court Settlement

    A third-party provider network manager in California has changed the ways it works with physical therapists (PTs), thanks to a successful settlement agreement stemming from a lawsuit brought forward by the Independent Physical Therapists of California (iPTCA).

    The original lawsuit alleged that One Call Care Management engaged in a number of unfair business practices around referral for PT services. Under a settlement reached in late 2017, One Call has been directed to modify its patient referral and authorization process, increase transparency around its scoring of physical therapists, and enhance its electronic billing and payment system. A summary of the changes included in the settlement is now available.

    One Call began implementing the payment policy changes, which are specific to California, in February. APTA and the California Chapter endorsed the lawsuit, which also received donations from the Private Practice Section of APTA. . Individuals who have compliance disputes should email iPTCA at admin@iptca.org.


    • One call needs to be investigated by the State for Im glad you won your lawsuit however there is Fraud in all areas not just physical therapy. DME Language, translation, MRI , transporation , medication, surgery...they have squeezed out every vendor to pulp, even out of busines for their greed and gain!! How can they have all the Insurance Companies in their pokets who is making$$$$ . Definitely Sacramento

      Posted by cshrednick on 10/5/2018 2:38 PM

    • I have 3 Physical Therapy Clinics in Philadelphia; have had the City Municipal contract since 2000 to present, recently the City awarded the contract to PMA as their third party administrator. PMA uses One Call to manage all their referrals. I have since been squeezed out and get a trickle of patients from one Call, maybe 1 -2 per month. They are not transparent with their score card, so I can evaluate the other PT/OT providers who are now getting 98% of the referrals

      Posted by Luis Hincapie on 1/23/2019 8:27 AM

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