08 - 27 - 2012 Proceedural insurance changes to affect physical therapists
Starting in September, chiropractors and physical therapists will need authorization by Highmark, Inc. before proceeding with any extended services in physical therapy, occupational therapy or spinal manipulation. The authorization would come from a computer program called Physical Medicine Management. According to a report in The Sentinel, the proposed treatment plan is processed through clinical algorithms to determine if the treatment plan is acceptable or even if the patient is eligible for further treatment. Only after receiving approval can treatment be continued.