Physician group precertifies physical therapy to cut utilization.
What can you do when you see that there's no rational basis for the number of physical and occupational therapy visits being approved, and your capitation dollars are leaking like a rusty bucket? If you develop guidelines based on diagnoses and pre-certify, you can save big bucks.
D002204:Capitation Fee; D006801:Humans; D007193:Independent Practice Associations / Q000458:organization & administration*; D009788:Occupational Therapy / Q000191:economics / Q000706:statistics & numerical data*; D010414:Pennsylvania; D026741:Physical Therapy Modalities / Q000191:economics / Q000706:statistics & numerical data*; D014600:Utilization Review / Q000592:standards*