Priority Health Providers New Contracts Due by May 1, 2013
Priority Health is one of the largest managed care organizations in West Michigan, and it is gaining market share on the east side of the state as well. Earlier this month, Priority Health sent out new contracts to private practices throughout the state which changed PT reimbursement from a fee for service model to a flat $75.00 per visit for its HMO and PPO products. The contracts are due back to Priority Health by May 1, 2013. MPTA Members can see notes and more information from this meeting in a Special Membership Update Report.
Special Membership Reimbursement Update Report...
Read the Special Report to members on Priority Heath April 18, 2013 Meeting ( PDF: 44kb)
Past 2007 Special Report...
Read the Special Report to members on Independant Physical Therapist (IPT) issues faced by Blue Cross Blue Shield Recorvery Audit. ( PDF: 227kb) 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 firstname.lastname@example.org
- 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
( PDF: 1.5mb)