Page 45 - OPTA Access Spring 2020

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also does not allow for reimbursement for documentation time . Many times, a PT will need to complete an
in-depth FCE and reimbursement should reflect
this specialized evaluation .
OPTA was able to construct a document to highlight the differences between the current FCE and best practices for the new W code . BWC is still evaluating this option/proposal .
Separately, OPTA submitted comments on December 27, 2019 regarding a package of rules for Chapter 4123-6 of the Ohio Administrative Code. Specific comments were:
• 4123-6-02.2 – Providers should not be required to have CARF accreditation for work hardening services. This accreditation is expensive and only 2 providers in Ohio meet this requirement. We requested BWC look at alternative metrics to ensure quality without overly burdening providers.
• 4123-6-21.8 – OPTA requested additional clarity in this new rule to ensure BWC patients/injured workers can access PT services to reduce or eliminate a patient’s reliance on opioid pain medications.
PRICE TRANSPARENCY
The House included a complicated provision regarding “healthcare price transparency” in their version of the budget bill . This would have required hospitals and healthcare providers to provide cost estimates to patients prior to performing services . The Senate bill replaced the complicated House proposal with a workable solution that only applied
to hospitals . During conference committee, they accepted the unfavorable House version . The Governor exercised his line item veto on these provisions, so they did NOT become law .
Senate Bill 97 was introduced by Senator Steve Huffman (R – Tipp City) early in 2019 . The Senate used this bill as a vehicle for their proposal included in the budget . It was unanimously passed by the Ohio Senate on October 9, 2019 . The bill has been referred to the House Health Committee where it has had sponsor testimony . Should the House move forward
with a price transparency bill, it is expected to look much different than the Senate-passed bill . Previous efforts by the legislature to enact healthcare price transparency have been successfully challenged in the Court .
For more information, contact Amanda at:
amanda@gov-advantage.com
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