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Jun 12, 2020 at 6:57pm
Good Afternoon, I am the office Manager for an upper extremity orthopedic surgeon in Michigan. We employ an Occupational Therapist who has worked with us for over 20 years. It has come to our attention that BCBS-MI has enacted new billing codification that disallows occupational therapists from being paid for many of the cpt procedures they perform. In our practice, the codes they have disallowed comprise about 95% of the procedures that our OT performs, and that are essential for patient recovery from complex injuries. These are procedures that are normally performed by OT's such as cpt codes 97022, 97035, 97110, 97014, 97033, 97124... I have spoken with some other practices that are in the same situation. As we know from experience, These new rules will not only prohibit BCBS-MI patients from getting needed rehabilitation to get them back to normal activities of daily living and work, but also will effectively eliminate Occupational Therapist's livelihood. Please forward this to your executive decision makers. BCBSM is not working in the best interest of its members with this egregious and arbitrary new policy. I am asking for your help in advocating for Michigan patients and Occupational Therapists. Please contact me to discuss this. Sincerely, Rebecca