Guest guest Posted December 17, 2004 Report Share Posted December 17, 2004 I'm sure this is old news but Aetna just denied us on Ionto--they say experimental. Has anyone tried to contest denials for ionto, and now I'm wondering what other ins. Companies deny for ionto. Pierre Rougny, PT, MTC Sebasticook Valley Hospital Director of Rehabilitation Services 21 Leighton St. Pittsfield, ME 04967 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2004 Report Share Posted December 18, 2004 We just received a copy of the Aetna summary of the research they used to come to this conclusion. It is interesting that of the five or so studies listed (not sure of exact number as it is at work and I am writing this from home), all but one showed positive results for ionto. However, all had small sample sizes, which seems to be why Aetna made the decision they did as they specifically stated that the studies sizes were small and that there are no randomized controlled trials for ionto as of August 2004, which is when this summary was completed. Mark Dwyer, PT, MHA Director of Rehabilitation Services Olathe Medical Center Olathe, KS markdwyer87@... Ionto denial I'm sure this is old news but Aetna just denied us on Ionto--they say experimental. Has anyone tried to contest denials for ionto, and now I'm wondering what other ins. Companies deny for ionto. Pierre Rougny, PT, MTC Sebasticook Valley Hospital Director of Rehabilitation Services 21 Leighton St. Pittsfield, ME 04967 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2004 Report Share Posted December 18, 2004 We just received a copy of the Aetna summary of the research they used to come to this conclusion. It is interesting that of the five or so studies listed (not sure of exact number as it is at work and I am writing this from home), all but one showed positive results for ionto. However, all had small sample sizes, which seems to be why Aetna made the decision they did as they specifically stated that the studies sizes were small and that there are no randomized controlled trials for ionto as of August 2004, which is when this summary was completed. Mark Dwyer, PT, MHA Director of Rehabilitation Services Olathe Medical Center Olathe, KS markdwyer87@... Ionto denial I'm sure this is old news but Aetna just denied us on Ionto--they say experimental. Has anyone tried to contest denials for ionto, and now I'm wondering what other ins. Companies deny for ionto. Pierre Rougny, PT, MTC Sebasticook Valley Hospital Director of Rehabilitation Services 21 Leighton St. Pittsfield, ME 04967 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2004 Report Share Posted December 19, 2004 Pierre - Warmest Greetings! 1) Under HIPAA all insurors must use a single descriptor set, nationwide. 2) In the USA, that standard descriptor set is the CPT Codes of the American Medical Association (AMA) 3) The AMA only establishes CPT Codes for proven effective, non-experimental treatments. 4) There's a CPT Code for Iontophoresis 5) Therefore, Iontophoresis has been proved effective, and is not considered experimental. Hope that helps. Dick Hillyer, PT, MBA, MSM Hillyer Associates Cape Coral, FLorida Ionto denial I'm sure this is old news but Aetna just denied us on Ionto--they say experimental. Has anyone tried to contest denials for ionto, and now I'm wondering what other ins. Companies deny for ionto. Pierre Rougny, PT, MTC Sebasticook Valley Hospital Director of Rehabilitation Services 21 Leighton St. Pittsfield, ME 04967 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2004 Report Share Posted December 19, 2004 Pierre - Warmest Greetings! 1) Under HIPAA all insurors must use a single descriptor set, nationwide. 2) In the USA, that standard descriptor set is the CPT Codes of the American Medical Association (AMA) 3) The AMA only establishes CPT Codes for proven effective, non-experimental treatments. 4) There's a CPT Code for Iontophoresis 5) Therefore, Iontophoresis has been proved effective, and is not considered experimental. Hope that helps. Dick Hillyer, PT, MBA, MSM Hillyer Associates Cape Coral, FLorida Ionto denial I'm sure this is old news but Aetna just denied us on Ionto--they say experimental. Has anyone tried to contest denials for ionto, and now I'm wondering what other ins. Companies deny for ionto. Pierre Rougny, PT, MTC Sebasticook Valley Hospital Director of Rehabilitation Services 21 Leighton St. Pittsfield, ME 04967 Quote Link to comment Share on other sites More sharing options...
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