Special Report...

Read the Special Report to members on Independant Physical Therapist (IPT) issues faced by Blue Cross Blue Shield Recorvery Audit. (

PDF: 223kb)

Announcement Priority Health

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 have schedule informational meetings for PT providers who have clients with Priority Health Insurance.

These meetings will provide an overview of the practice profiling program, and give providers an opportunity for questions to be answered. These meetings are open to all contracted Priority Health Outpatient Physical Therapy providers, and MPTA members who are affected are encouraged to attend one of the meetings. Check for updates in the next few weeks on the Priority Health website or contact your provider representative if you have questions.

April 22 2008 in Farmington Hills
Meeting times: 7 am and 5 pm
Customer Service Conference Room
34505 West 12 Mile Rd.
The meetings on April 22nd and cancelled due to low registrations.

April 23, 2008 in Traverse City Canceled
Rescheduled as Teleconference w/April 24 Grand Rapids meeting

April 24, 2008 in Grand Rapids
Meeting times: 7 am and 5 pm
Grand Rapids
Conference Center
3111 Leonard Rd.

Contact your Priority Health Representative if you have any questions.

Reimbursement News

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 Medicare Therapy Cap 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
( PDF: 1.5mb)

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Webmpta.com MPTA Mission The Michigan Physical Therapy Association is a professional organization representing physical therapists, physical therapist assistants and students who have joined together to assure that high ethical professional standards are maintained and that quality health care in the areas of prevention, education and rehabilitation of movement dysfunction and wellness are received for all consumers in the state of Michigan.	Home > Reimbursement Special Report... Read the Special Report to members on Independant Physical Therapist (IPT) issues faced by Blue Cross Blue Shield Recorvery Audit. ( PDF: 223kb) Announcement Priority Health 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 have schedule informational meetings for PT providers who have clients with Priority Health Insurance. These meetings will provide an overview of the practice profiling program, and give providers an opportunity for questions to be answered. These meetings are open to all contracted Priority Health Outpatient Physical Therapy providers, and MPTA members who are affected are encouraged to attend one of the meetings. Check for updates in the next few weeks on the Priority Health website or contact your provider representative if you have questions. April 22 2008 in Farmington Hills Meeting times: 7 am and 5 pm Customer Service Conference Room 34505 West 12 Mile Rd. The meetings on April 22nd and cancelled due to low registrations. April 23, 2008 in Traverse City Canceled Rescheduled as Teleconference w/April 24 Grand Rapids meeting April 24, 2008 in Grand Rapids Meeting times: 7 am and 5 pm Grand Rapids Conference Center 3111 Leonard Rd. Contact your Priority Health Representative if you have any questions. Reimbursement News 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 Medicare Therapy Cap 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 ( PDF: 1.5mb)	Reimbursement Resources Basic Reimbursement Steps Advocacy Information on CERT Documentation Requests-All Providers Reimbursement Efforts Medicaid Medicare Code of Federal Regulations new Reimbursement Resources
	Michigan Physical Therapy Association 3300 Washtenaw Avenue, Suite 220, Ann Arbor, Michigan 48104 Phone: (734) 929-6075 or (800) 242-8131 - Fax: (734) 677-2407 - E-mail: mpta@mpta.com