8/30/2013

Effective for dates of service on or after October 1, 2013, Aetna will update their multiple procedure reduction policy, including the reduction percentages for certain therapy procedures.  This applies to all provider types (both facility and non-facility).  The procedure with the highest practice expense relative value units (RVU) will be allowed at 100 percent.  The practice expense portion of each additional therapy service performed by the same provider group or facility on the same date of service will be allowed at 50 percent.  The Therapies – Modalities per Date of Service payment policy still applies.