PTPN sees 9% increase in California claims volume

PTPN, the country’s premier network of independent rehabilitation therapists, has generated significantly more claims volume for its California providers in 2018 than the prior year — 9% more than in 2017.

“This kind of growth in our network means we’re helping private practice owners find success in today’s complex marketplace,” said PTPN President Michael Weinper, PT, DPT, MPH. “It’s the direct result of our commitment to maximizing the independent therapist’s participation in managed care.”

The $56 million in claims volume reported by PTPN providers in California for 2018, up 9% from 2017, represents patients seen via the nearly 100 managed care contracts that PTPN secures on behalf of its providers. The average charge billed by PTPN members was nearly flat, so this shows an actual increase in business per member.

One reason for the increase is PTPN’s newest program, PTPN CompDirect. PTPN CompDirect links workers’ compensation payers, providers and patients transparently. The program has been developed in response to what both providers and payers have been saying. “The middleman organizations that rebill physical medicine and keep a large portion of the reimbursement are wreaking havoc in workers’ comp,” Dr. Weinper said. “Providers have been asking for ways to get reimbursed fairly, and payers have been increasingly dissatisfied with the level of service and quality of care they’re receiving.” In PTPN CompDirect, payers pay providers directly. There’s no middleman billing the payer and paying only a fraction of the payment to the provider, which slows down payment, frustrates providers, and jeopardizes the injured workers’ experience. To learn more, visit ptpn.com/compdirect.

 
About PTPN: PTPN is the nation’s premier specialty network of rehabilitation therapists in independent practice. It has led the rehabilitation industry in pioneering national contracting and quality assurance programs since 1985. The network has more than 700 provider offices (including physical, occupational and speech therapists). PTPN contracts with most major managed care organizations in the nation, including insurers, workers’ compensation companies, PPOs, HMOs, medical groups, and IPAs. All members of PTPN must be independent practitioners who own their own practices. For more information on PTPN, contact Stephen Moore at 818-737-0246 or smoore@ptpn.com, or visit ptpn.com.