Recently many therapy providers have experienced a high volume of denials on Medicare claims having the KX modifier. Please see below for information directly...
The following was sent by Trailblazer. Please reference this document for information relating to current policy. Thanks. Angela S. Brooks, PT VPTA Payer...
As you are all aware, the procedure to diagnosis crosswalk has been reinstated. This crosswalk represents the first edit for medical necessity on Medicare...
This is to remind all of you that Medicare will implement the PQRI program on July 1, 2007. The PQRI bonus of 1.5% is available to all PT's in private practice...
This information appeared in PT Bulletin Friday, June 22nd. In case you did not review the information, please take note. It is important to review your NPI...
Call for Abstracts VPTA 2007 Annual Conference The VPTA Research Committee is currently accepting abstracts for consideration for poster and platform...
Please review the following information. * CMS is delaying the launch of the NPI Registry and the dissemination of FOIA-disclosable health care provider data...
ACN Group, Inc currently provides physical therapy and chiropractic utililization management and claims processing for UnitedHealth Group. Recently I attended...
The following information was sent via the Trailblazer Listserv. Please review this information to assure that your practice setting is fully aware of all...
Trailblazer Health Enterprises, LLC hosts a number of educational activities via a variety of avenues included teleconference and web-based training. Those...
The following information was forwarded via the Trailblazer Listserv. NPI numbers, although intended to streamline and simplify, may cause problems if not...
Please be aware of the following as it relates to ACN Group, Inc. 1. The referral requirement for physical therapy services has been eliminated. This...
CMS Final Fee Schedule Rule issued November 1, 2007 will go into effect on January 1, 2008. I recommend visiting the APTA website to obtain a comprehensive...
CONGRESS PASSES THE MEDICARE, MEDICAID AND SCHIP EXTENSION ACT OF 2007 (S. 2499) Congress has approved legislation postponing the Medicare therapy cap and...
PRESIDENT SIGNS THE MEDICARE, MEDICAID AND SCHIP EXTENSION ACT OF 2007 (S. 2499) On Saturday, President Bush signed The Medicare, Medicaid and SCHIP Extension...
Medicare has released a draft LCD and your comments are needed. VA is again participating with several other states impacted by TrailblazerHealth, LLC to craft...
Many of you have been kind enough to attempt to access the draft LCD however have been unable to do so based on an error in my previous posting. Please see the...
The following was posted on the Trailblazer website: _________________________________________________ TrailBlazer Part B Virginia Workload to Transition to...
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...
NGS (National Government Services) functions as the FI for VA Medicare policies. They have recently released a draft LCD that will be utilized as a review tool...
Form Name Change ACN Group is changing the name of the "Notification Form" to "Patient Summary Form." The reason for this form name change is the term...
I have been informed that the LCD in effect for outpatient rehab providers of Medicare Part B recipients in VA will remain in the same format as 2007 without...
Dear friends and colleagues, You may have read in the Washington Post that I am a candidate in the June 10th primary for the 11th Congressional District of...
Lori Pratt Alexander
lalexan2@...
Mar 3, 2008 4:03 pm
167
CMS just announced a new interactive resource that answers questions about becoming a Medicare provider, billing, appeals, etc. This resource is found at: ...
The following information is from CMS and Trailblazer Health. Take note, the NPI is no longer optional....it is mandtory and claims will be denied with it. The...
The following is a FAQ developed by ACN to address questions regarding the Clinical Support Program. I hope you find this helpful. Angela S. Brooks, PT VPTA...
If you have had customer service issues during rate negotiations with ACN Group, please share with me specifics of these exchanges and I will communicate the...
This is a reminder that all HIPPA standard transactions are to be submitted utilizing NPI numbers by May 23, 2008 or claims will be denied. Below, please find...
In 2009, the VPTA is planning to host a forum for payers. This exciting event will give the VPTA an opportunity to reach out to a number of insurers and offer...
VCU/MCV Physical Therapy students are participating in the program below and request your support: SHAKE A LEG, LEND A HAND! DONATE YOUR USED PROSTHETICS OR...