PRIVATE PRACTICE - Fighting for Your Patients: Best Practices to Reverse Insurance Coverage and Payment Denials
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How often have your patients been denied coverage for medically necessary physical therapy services? Patients frequently do not know the extent of their rights to appeal denials and can be vulnerable to unreasonable limits on their care imposed by payers. As their advocate, it commonly falls to physical therapists or back office staff to push back against coverage denials. As utilization management groups like AIM spread, learn the rights you have to advocate for your patients to get the care they need, and for you to be paid for providing that care.
Craig is the Chief Operations Officer at Therapy Partners, Inc., where he directs internal operations and support services to 16 practices with 34 locations in Minnesota and Wisconsin. He supports member practice solutions with a focus on care management, outcomes management, value-based contracting, compliance, and reimbursement. He has over 40 years in clinical care, practice ownership, and management in independent therapy practices.
His professional degrees include a Physical Therapy degree from the University of Minnesota, 1979; and MBA from University of St. Thomas, 2000. He is an APTA since graduation and currently serves on the PPS Board of Directors.
JD, MPAff, PPS Senior Consultant
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