[NPInfo] UAW/Delphi NPs/PAs out of network.

[Venda Kelley]

I wonder what has sparked this change. Someone is behind this. I hope Jan
Towers will respond and let us know if there is anything we can do.
Venda


On 8/1/08 8:00 AM, "Jeff and Linda Bocchetto" <lmbjsb57 at msn.com> wrote:

> We billed the same for several years, but were told as of August 1st, they
> will no longer accept ANY charges related to NP/PA visits. They have stated
> they will be auditing charts and will no longer allow this practice.
> LindaB, NP
> 
> 
>> From: Venda Kelley <vkrn at newwavecomm.net>
>> Reply-To: NP Info <npinfo at nurse.net>
>> To: NP Info <npinfo at nurse.net>, <jeffnp27 at yahoo.com>
>> Subject: Re: [NPInfo] UAW/Delphi NPs/PAs out of network.
>> Date: Thu, 31 Jul 2008 21:57:38 -0400
>> 
>> The UAW issue is not new. We have many retired United Auto Workers in KY
>> who
>> have BCBS and they have always been told not to see an NP. There are a few
>> who will see me in a pinch and pay the fee.
>> 
>> One of the best ways to "fix" this would be for the members to write
>> letters
>> to their representatives and insist that NPs and PA be on the provider
>> panels. I doubt that many members care one way or another and so that is
>> probably not going to happen.
>> 
>> It is true that since they are a self-insured entity under BCBS, they CAN
>> do
>> anything they want.  I am also sure you are right and some physician is
>> feeding them incorrect information about NPs and PA.
>> 
>> I believe at one time our office was told that we could bill under the
>> physician's number and be reimbursed. It is not incident-to because that
>> only applies to Medicare. We kept the letter in a file just to be sure. On
>> the rare occasion I need to see one of these members, we will bill that way
>> and hold them to it.
>> 
>> Venda Kelley, ARNP
>> Somerset, KY
>> 
>> 
>> 
>> 
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