Ancillary Service Provider Summary of Survey Results
Breakdown of the major issues reported as most important to you
Reimbusrement
  • Equal reimbursement
  • Reimbursement for services within my legal scope of practice
  • Third party reimbursement
Managed Care
  • More effective cross-over between primary and secondary insurances
  • Expansion of insurance carriers within the network
  • List of RMHN insurance companies and associated co-pays for each
Updating Outdated, Non-Covered Policies

Specifically, BCBSMT has a non-coverage policy for CDP (Computerized Dynamic Posturography/92548) that was last revised in January 2001. It states that this testing is considered “Investigational”. CDP is a critical technique for developing an effective treatment pathway and improving clinical outcomes in the management of chronic dizziness and balance impairment. The clinical outcomes in the management of chronic dizziness and balance impairment. The medical necessity of CDP is well documented within the literature and written coverage policies.

De-Coding the Coding Game

On several occasions payments will be denied because an inappropriate diagnosis code was liked with the CPT code. How do we know which diagnosis codes are required for the individual CPT codes in order to insure payment. How do we go about adding or changing the diagnosis code that is linked with the CPT code if a different one is more appropriate?

Billing
  • Assistance with credentialing with new insurance carriers
  • Medical billing assistance
Education/Training
  • International seminars about practice building
  • Education to staff
  • CEU opportunities
  • Networking opportunities
Mental Health
  • Training about new developments in the mental health field and incorporate into our practices
  • Advise payors of direct correlation between psychologically healthy persons and lowered medical benefit usage
  • Advise employers of the direct correlation between psychologically healthy persons and increased job productivity
  • Educate payors regarding the significance mental health counseling plays in the overall pictures of healthy subscribers
  • Unlicensed “counselors”
Provider Fee Is Unreasonable

Tuition Reimbursement Should Be Reviewed For College Credits
  • I feel it is low compared to the market.
Competitive Salaries

Promotion of NPP Role

Why Do You Not Have an NP or PA or Both on the Committee?

Durable Medical Equipment
  • CMN’s and related paperwork needed for medical equipment
  • Provide education to physicians regarding DME paperwork completion
  • More updated information on home medical equipment as far as reimbursement changes and coverage issues
  • Fee schedules for home medical equipment — this is such a big part of the health success of a patient. Accurately administered, this industry can save the healthcare industry millions of dollars in hospital and physician visits yet it is the first industry that is neglected.
Rocky Mountain Health Network
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Billings, MT 59101      (866) 275-7646  (406) 238-6066
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Rocky Mountain Health Network — RMHN — Business Resources for Health