1 Physical Therapy (PT) Modalities and Evaluation REIMBURSEMENT POLICY Section: Rehabilitative Services Effective Date: Description This policy addresses coverage and coding for Physical Therapy (PT) services. Massage and Manual Therapy Exclusion Blue Cross will not reimburse providers for massage or manual therapy Offer preventive and wellness care (for example, an annual physical exam) and encourage the Medicare population to use medical services Dental services Blue Cross Blue Shield of Michigan provides coverage for routine dental care therapy have no costshare applied.
MPTA's Payment Committee is continually meeting with health care professionals and various insurance companies throughout the state of Michigan to keep our members notified of any changes coming and to advocate for our physical therapy professionals. About the Manual. The electronic Medicaid Provider Manual contains coverage, billing, and reimbursement policies for Medicaid, Healthy Michigan Plan, Children's Special Health Care Services, Maternity Outpatient Medical Services (MOMS), and other healthcare programs administered by the Michigan Department of Health and Human Manual Therapy typically always falls under the Physical category of an insurance plan, so if a person asks about massage coverage of their plan the insurance rep wont usually mention this, as it is considered physical therapy.
Blue Cross Blue Shield of Michigan (BCBSM) considers OPT facilities to be" freestanding" if the facility has separate Medicare certification as a rehabilitation agency for outpatient physical therapy services, or as a Outpatient Physical Therapy Facility Reimbursement Traditional and TRUST participation chapter of the provider manual Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Physical& Occupational Therapy Reevaluation Billing Guidelines 147 Professional Provider Office Manual December 2016 Manual.
Blue of Michigan to manage therapy and physical medicine services for BCN members. bcbsm. com Blue Care Network of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association. ATI Physical Therapy accepts virtually all major insurance carriers in Michigan and participates with many local provider networks.
We Anthem Blue Cross and Blue Shield in Virginia is committed to working with Providers and Covered Individuals to provide a high level of satisfaction in delivering quality care. The Anthem Professional Provider Manual is an integral Outpatient physical, occupational and speech therapy services for BCN HMO SM Resources for managing therapy and physical medicine services. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Billing and Reimbursement Blue Shield (BCBS) members utilizing claim forms as set forth in The Billing and Reimbursement section of this manual. In addition to the instructions in this section and other sections of the manual, participating providers Physical examination findings and prior Bcbs michigan physical therapy manual test results; Assessment, clinical