Re: Ionto denial -Blue Cross of Illinois

[Guest guest]

Blue Cross of Northeastern Pennsylvania, and its HMO First Priority have also

started to deny claims for Ionto.

I believe its time for the Ionto manufacturers to step to the plate and work

with therapists in changing the viewpoint of insurance carriers towards this

modality. Most recently in discussing reimbursement with our local Ionto rep,

we were getting reassurances that Ionto is covered.

P Slocum PT

Hazleton PA

[Guest guest]

Denials like this are a pain indeed! Did any of you ever contact the

manufacturer directly? I believe that Empi has staff dedicated to

help clinicians with such issues and have done so for quite some

time. They probably have a considerable database of information that

might help with appeals. Another option is to share outcome data

with the insurer: how did your patients who received iontophoresis

do compared to similar patients who didn't. Focus especially on

economic data that matter to the insurer: length of stay, frequency

of readmission, use of analgesics, etc.

Yorick Wijting, PT

>

> Blue Cross of Northeastern Pennsylvania, and its HMO First

Priority have also

> started to deny claims for Ionto.

> I believe its time for the Ionto manufacturers to step to the

plate and work

> with therapists in changing the viewpoint of insurance carriers

towards this

> modality. Most recently in discussing reimbursement with our local

Ionto rep,

> we were getting reassurances that Ionto is covered.

> P Slocum PT

> Hazleton PA

>

>

>

[Guest guest]

Denials like this are a pain indeed! Did any of you ever contact the

manufacturer directly? I believe that Empi has staff dedicated to

help clinicians with such issues and have done so for quite some

time. They probably have a considerable database of information that

might help with appeals. Another option is to share outcome data

with the insurer: how did your patients who received iontophoresis

do compared to similar patients who didn't. Focus especially on

economic data that matter to the insurer: length of stay, frequency

of readmission, use of analgesics, etc.

Yorick Wijting, PT

>

> Blue Cross of Northeastern Pennsylvania, and its HMO First

Priority have also

> started to deny claims for Ionto.

> I believe its time for the Ionto manufacturers to step to the

plate and work

> with therapists in changing the viewpoint of insurance carriers

towards this

> modality. Most recently in discussing reimbursement with our local

Ionto rep,

> we were getting reassurances that Ionto is covered.

> P Slocum PT

> Hazleton PA

>

>

>