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Responses to Reimbursement Question

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  • Responses to Reimbursement Question

    Last week I wrote:
    "One thing that is probably common to all of our biomechanics programs is
    a desire to acquire funding for sustaining and growing our programs. One
    potential funding source is charging patients or their insurance company,
    referring physician, or referring physical therapist. At the American
    Sports Medicine Institute, we evaluate numerous baseball pitchers,
    football quarterbacks, golfers, and others. So far we have not charged the
    injured patients, their physicans, therapists, or insurance companies, but
    we are
    now giving this some thought.

    Do you know whether reimbursement from insurance companies and others can
    successfully be obtained? I have heard some stories about reimbursment
    for gait analyses, but no stories about other analyses. Hopefully, working
    together as a profession, we can ultimately increase the acceptance of
    reimbursement for biomechanical analysis. Please share with me your
    thoughts and experience on reimbursement for gait analyses or other
    biomechanical analyses.

    I will post a summary of the responses.

    Thank you,

    Glenn Fleisig, Ph.D."
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    Thank you. The responses from other members of BIOMECH-L were extremely
    helpful. In summary, most felt that insurance reimbursement was difficult,
    but possible to obtain. It was recommended that:
    1. Ask yourself what value, if any, your evaluation had in reducing medical
    bills and returning a person to activity. If there is value, then...
    2. Find an insurance reimbursement expert to work with.
    3. Use the proper CPT and ICD-9 codes.

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