Progressive is Wrongfully Denying PIP Bills Again!
Progressive has found two ways to screw over doctors with the new PIP law!
- Progressive is fighting the EMC opinion!
- Progressive is denying manual therapy!
First Issue- I have seen Progressive hire an MD to say that injuries are not an Emergency Medical Condition. I haven’t seen any other insurance company do that! I believe that Progressive will ultimately lose on this issue in court because the new law doesn’t allow them to dispute the EMC. Basically, an MD hired by Progressive states: “I reviewed the patient’s medical chart and there are no broken bones or life threatening injuries so there is no EMC.” The definition of EMC does not say the patient needs to have a life or death emergency!
Second Issue- Progressive is denying manual therapy (97140) by claiming that it is a “massage” (97124). I believe that Progressive will lose in court on this issue as well! Manual therapy and massage therapy are different. Just make sure that your notes are consistent with what you are billing for. For example, if you bill 97140 then your notes should not use the word “massage”.
If Progressive capped your patient’s PIP benefits at $2500 or if Progressive denied manual therapy then please call my office. We want to help you get paid. No recovery- no fees or costs.
Your patient paid for $10,000 in PIP coverage and my goal is to make sure they get $10,000 in coverage. If you don’t understand the new PIP law then your patient will suffer the consequences so don’t be bashful. Call a PIP attorney and ask for some free legal advice.