As many of you know, ACN Group, Inc manages a portion of the physical therapy claims review for products offered by United Health. In August 2007 the VPTA was invited by ACN to come to the table to offer input on various aspects of their utilization mangement policies as well as many other operational processes that impact physical therapists in Virginia.

On February 21st, the VPTA will again meet with ACN and have the opportunity to discuss  issues that impact therapists in Virginia. I will serve as the representative for Virginia and requst that you communicate with me any information that you would like relayed to ACN.

Based on previous meetings with ACN, I ask that you consider the following as you craft your comments. This list is in no way exhaustive and I am open to any and all input that you are willing to offer.

1. Do you understand the notification process? Do you know what this is?

2. Do you know your tier status? Do you know what this is?

3. Do you use online tools to complete necessary paperwork?

4. Is turn-around time to obtain initial and ongoing visits adequate?

5. Are adequate visits allowed to address patient needs? Are procedures in place     to  address outliers?

6. Are there policies or procedures that are supported by ACN that you find helpful?

Thanks in advance.

Angela S. Brooks, PT

VPTA Payer Relations Specialist

AngelaSBrooks@...