Hippotherapy

[Guest guest]

Dear group,

For those that deliver this service, we are trying to work out how to bill

insurance(s). Any comments would be appreciated. Thanks,

Mike

Mike Moreau, M.S.P.T., Cert. MDT

Physical Therapy Specialists

1344 N. Center St., Suite B

Hickory, NC 28601

F

mike@...

[Guest guest]

,

When I was doing hippotherapy in IL we billed for my speech therapy service

the same way as when I was in the clinic billing. I could work on core

strength, breathing, trunk elongation and rotation, various sounds based on

the position I have the child placed on the horse, following directions,

etc. all while the child is on the horse. My goals were the same when using

the horse in the barn verses using a therapy ball in the clinic.

Kaye

From: PTManager [mailto:PTManager ] On Behalf

Of Trevor Huffman

Sent: Friday, June 08, 2012 1:06 PM

To: 'PTManager '

Subject: Hippotherapy

Group:

I recently started helping a lady that performs hippotherapy with children.

How would we bill for this service? We will be working with doctors plus

private insurance and Medicaid. I currently work in a hospital based

outpatient department and not sure how to do this on a private basis.

Huffman P.T., M.S., A.T.,C.

ville, IL

[Guest guest]

,

When I was doing hippotherapy in IL we billed for my speech therapy service

the same way as when I was in the clinic billing. I could work on core

strength, breathing, trunk elongation and rotation, various sounds based on

the position I have the child placed on the horse, following directions,

etc. all while the child is on the horse. My goals were the same when using

the horse in the barn verses using a therapy ball in the clinic.

Kaye

From: PTManager [mailto:PTManager ] On Behalf

Of Trevor Huffman

Sent: Friday, June 08, 2012 1:06 PM

To: 'PTManager '

Subject: Hippotherapy

Group:

I recently started helping a lady that performs hippotherapy with children.

How would we bill for this service? We will be working with doctors plus

private insurance and Medicaid. I currently work in a hospital based

outpatient department and not sure how to do this on a private basis.

Huffman P.T., M.S., A.T.,C.

ville, IL

[Guest guest]

Please keep in mind the vast majority of insurance carriers do not knowingly

reimburse for hippotherapy as many consider it investigational and experimental.

The key word in the previous sentence is knowingly. Most likely, you will be

reimbursed for your therapy services since most of your claims never get

reviewed. The thing to think about is what would happen if some of your claims

were reviewed and documentation showed you did hippotherapy? Would you get

reimbursed if on a pre-pay audit or keep the money if on a post-pay audit?

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

www.gawendaseminars.com

Follow Gawenda Seminars & Consulting, Inc on Facebook

Register for the June 19, 2012 webinar conference: " ICD-9 Coding, Medicare

Therapy Cap, CCI Edits & Modifiers Used in Outpatient Therapy " at

https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1886

Subject: Hippotherapy

To: " 'PTManager ' " <PTManager >

Date: Friday, June 8, 2012, 2:06 PM

 

Group:

I recently started helping a lady that performs hippotherapy with children. How

would we bill for this service? We will be working with doctors plus private

insurance and Medicaid. I currently work in a hospital based outpatient

department and not sure how to do this on a private basis.

Huffman P.T., M.S., A.T.,C.

ville, IL

[Guest guest]

Please keep in mind the vast majority of insurance carriers do not knowingly

reimburse for hippotherapy as many consider it investigational and experimental.

The key word in the previous sentence is knowingly. Most likely, you will be

reimbursed for your therapy services since most of your claims never get

reviewed. The thing to think about is what would happen if some of your claims

were reviewed and documentation showed you did hippotherapy? Would you get

reimbursed if on a pre-pay audit or keep the money if on a post-pay audit?

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

www.gawendaseminars.com

Follow Gawenda Seminars & Consulting, Inc on Facebook

Register for the June 19, 2012 webinar conference: " ICD-9 Coding, Medicare

Therapy Cap, CCI Edits & Modifiers Used in Outpatient Therapy " at

https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1886

Subject: Hippotherapy

To: " 'PTManager ' " <PTManager >

Date: Friday, June 8, 2012, 2:06 PM

 

Group:

I recently started helping a lady that performs hippotherapy with children. How

would we bill for this service? We will be working with doctors plus private

insurance and Medicaid. I currently work in a hospital based outpatient

department and not sure how to do this on a private basis.

Huffman P.T., M.S., A.T.,C.

ville, IL