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Thread Topic: Multidisciplinary Services

Topic Originator: Karin S
Post Date November 3, 2016 @ 12:11 PM
Multidisciplinary Services Multidisciplinary Services

Multidisciplinary Services

Karin S
Multidisciplinary ServicesNovember 3, 2016 @ 12:11 PM Reply  |  Email Friend   |  |Print  |  Top

Hello! My clinic has multidisciplinary treatment programs for chronic pain and brain injuries. We primarily bill workers comp for these using a per diem rate that includes all services. We have been unsuccessful trying to bill these services to private insurance plans as a per diem, and breaking every piece of these 4 - 8 week program into CPT codes is a nightmare. My question - if we are contracted with a plan (such as Blue Cross), can we provide these programs as a non-covered service? Most plans do not recognize these treatment programs, nor does CPT coding provide adequate representation of what we do.

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