Read the Special Report to members on Independant Physical Therapist (IPT) issues faced by Blue Cross Blue Shield Recorvery Audit. (
Landmark Informational Meetings for Priority Health Providers
At the Spring MPTA Membership Meeting, on March 29, 2008, it was announced that Priority Health has entered into a contract with Landmark Healthcare to provide practice profiling on PT providers within the Priority Health system! The practice profiling is expected to be similar to that which Landmark provides to PT providers in the BCBS Trust Network, except that it will not include use management at this time. Landmark and Priority Health held informational meetings for PT providers who have clients with Priority Health Insurance.
These meetings were designed to provide an overview of the practice profiling program, and give providers an opportunity for questions to be answered. The meetings were open to all contracted Priority Health Outpatient Physical Therapy providers, and MPTA members who are affected were encouraged to attend one of the meetings.
Contact your Priority Health Representative if you have any questions.
MPTA has an Reimbursement Relations Committee that works with Medicare, Medicaid, Blue Cross Blue Shield, and other insurance carriers. This committee is a resource for MPTA members to get answers to specific questions regarding reimbursment. Contact the MPTA office with your question at mpta@mpta.com
- View information regarding The Medicare Therapy Cap and Learn What You Can Do! new window
- MPTA Therapy Cap Exception Process Handout from 3/11/06 presentation (
PDF: 100kb)
- CMS Fact Sheet on Cap Exceptions (
PDF: 71kb)
- CMS Therapy Cap Exception Summary Documents
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PDF: 1.5mb)








