Legislative & Payment

HAPTA Bills Will Stabilize Workers’ Comp Payments – Take Action!

HAPTA introduced bills during the 2017 Hawaii legislative session that will, if passed, tie the Workers’ Compensation Program fee schedule to the rates set by the US Department of Labor and will remove the power to change the fee schedule from the Hawaii Department of Labor and Industrial Relations (DLIR). We need you to respond…

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Member Action Helped Avert Workers’ Comp Payment Crisis

On November 17, the Hawaii Department of Labor and Industrial Relations (DLIR) held a hearing on a proposal that would have switched the medical fee schedule back to Medicare plus 10 percent. Doing so would have pushed the clock back to a time when reimbursements for workers’ comp cases were barely sustainable. Due to notice…

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CPT Evaluation Codes Changing January 1, 2017

On January 1, 2017, the PT initial evaluation and reevaluation codes (97001 and 97002) will disappear from the AMA’s CPT coding. Poof. Just like that. That’s right, the AMA will replace codes 97001 and 97002 with 97161, 97162, 97163 (for low, moderate and high complexity initial evaluations) and 97164 (reevaluations). This will affect claims for…

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HAPTA Leader Joins United Spinal Association in Advocacy and Honoring Hawaiian Senator

HAPTA Legislative Committee member Abi Leddy joined the United Spinal Association during their annual Roll on Capitol Hill (ROCH) in Washington, DC last month so she could advocate for priority legislation and to help present their VetsFirst program Congressional Bronze Star Award to Hawaii Sen. Mazie Hironi. During the ROCH, Dr. Leddy joined more than…

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Support North Carolina’s Dry Needling Lawsuit

Dear Members of HAPTA, As you know physical therapy has evolved greatly over the last few decades.  As a profession we have developed and expanded our scope of practice.  We as therapists are allowed to expand our knowledge base to treat along a long spectrum including othropaedics, neurology, wound care, cardiopulmonary rehab and oncology to…

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2016 State Legislative Summary

Goodbye snail mail Workers Comp Treatment Plans! Hello electronic submissions HB2017 will change current law that only allows snail mail submissions for WC Treatment Plans, and mandates that insurers accept electronic treatment plans. But hold your horses as this doesn’t go into effect until 1/1/2021. The measure will allow insurers 10 business days to deny…

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Checklist to Stop TPA Contact

We’ve experienced and heard reports from members about receiving frequent faxes, phone calls and emails from companies such as Providers Choice Claim Solutions and Multiplan attempting to get providers to sign a contract accepting a reduction in payment for treatment already performed and for future treatments. We have contacted the Hawaii Insurance Division about these…

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Recap of 2015 APTA State Policy and Payment Forum – Denver, CO

PAYER RELATIONS COMMITTEE RECAP: 2015 APTA State Policy and Payment Forum – Denver, CO September 19-21, 2015 By Patti Taira-Tokuuke, Payer Relations Co-Chair From a Payment perspective, the takeaways from the 2015 forum are that many states are facing very similar situations that we have in Hawaii: Increasing out of pocket (cost sharing) expenses for…

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Review of SGR/Therapy Cap Legislation

Review of SGR/Therapy Cap Legislation On April 14, 2015, the Senate passed the Medicare Access and CHIP Reauthorization Act (H.R. 2), which repealed and replaced the Medicare Sustainable Growth Rate (SGR) formula. The president signed the bill into law on April 16. Included in the bill was an extension of the Therapy Cap exceptions process…

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HAPTA Supports SB 791

HAPTA recently submitted testimony in support of SB 791, to provide requisite coverage for autism diagnosis and treatment by health insurers, mutual benefit societies, and health maintenance organizations, because no child with an Autism Spectrum Disorder in the State of Hawaii should go without proper treatment due to the cost of services. To learn more about HAPTA’s…

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