George Corson Apr 12, 2017 06:33 AM
All this for another 6-12 Acupuncture treatments? Not even surgery, a prosthetic leg, or chemotherapy? Maybe the limit of 24 visits is wrong, but the limit is in the Labor Code. Acupuncture is not a long-term solution, like Oxycodone is not the solution to a herniated disk. Treaters need to fix the root cause, rather than treat the billing.
Ginger Volz Apr 12, 2017 11:03 AM
There is not a 24 visit cap in the Labor Code for physical therapy. Rather it is in the CCRs which state 3-6 visits, with additional visits allowed with evidence of functional improvement. I can almost guarantee no evidence of functional improvement due to the acupuncture was sent with the RFA in this matter. I have never seen an acupuncture RFA which meets the requirement of documenting functional improvement.