Lanter
Contributor
I do physcial therapy and am finding it hard to fight some of the denials Work Comp ins. companies are sending me. If a patient is seen for more than one body part at two different times should we not get to bill for an eval for each? example patient has a major accident and sprains shoulder but fractures the leg, one injury one claim however we start physical therapy on the shoulder right away but the leg has a cast so no treatment or eval at this time for the leg. 3 weeks later cast comes off and PCP sends to physical therapy to now eval the leg and do treatment. I am having WC deny claims saying only 1 WC eval per life of the claim but these are done at two different times and with two body parts. Does anyone else have this issue and can WC deny the eval? Does this happen with any other type of facility other than Physcial Therapy?