Rehab

New legislation will benefit New Jersey PTs

Rehab Regs, July 13, 2007

The New Jersey Society of Independent Physical Therapists (NJSIPT) in Sea Girt, NJ, developed Assembly Bill 3790, which New Jersey's General Assembly passed on June 21. The bill addresses physical therapy claims and coverage. It will also establish a minimum amount insurers must pay if they tell their patients they cover PT.

 

The following five excerpts are part of what the proposed bill will accomplish:

  • Reduce the turnaround time for authorization requests from 15 days to three days
  • Mandate peer review only by a NJ-licensed PT
  • Apply the current state-mandated personal injury protection fee schedule as a minimum for PT services to all payers, with no arbitrary caps
  • Require that reimbursement be based upon this fee schedule regardless of network participation status
  • Restrict reimbursement for physical therapy services solely to properly organized providers

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