Snider Karen T, Jorgensen Douglas J
Department of Osteopathic Manipulative Medicine, Kirksville College of Osteopathic Medicine-A.T. Still University, Kirksville, MO 63501-1443, USA.
J Am Osteopath Assoc. 2009 Aug;109(8):409-13. doi: 10.7556/jaoa.2009.109.8.409.
Some osteopathic physicians are not properly reimbursed by insurance companies after providing osteopathic manipulative treatment (OMT) to their patients. Common problems associated with lack of reimbursements include insurers bundling OMT with the standard evaluation and management service and confusing OMT with chiropractic manipulative treatment or physical therapy services. The authors suggest methods of appeal for denied reimbursement claims that will also prevent future payment denials.
一些整骨疗法医生在为患者提供整骨手法治疗(OMT)后,未得到保险公司的适当报销。与报销不足相关的常见问题包括保险公司将OMT与标准评估和管理服务捆绑在一起,以及将OMT与脊椎按摩疗法或物理治疗服务混淆。作者提出了对被拒绝报销申请的上诉方法,这些方法也将防止未来的付款被拒绝。