Insurance companies can be quite peculiar. An insurance company cheerfully reimbursing an orthopedist for a musculoskeletal ultrasound procedure will turn around and question the exact same procedure when it is performed by a podiatrist. There is no reason for it, and no justification for their discriminatory prejudices. In our opinion, whenever an insurance company tries to deny an ultrasound reimbursement, it should be met with a stern argument in support of why diagnostic ultrasound is fully justified in a podiatrist’s scope of practice.

Blue Cross has proven itself to be especially problematic for podiatrists in Pennsylvania, Maryland, and New Jersey. In response to this treatment — whether in one of these states or elsewhere — it’s important to counter any denied claims with something like the letter linked below.

We’re calling this the “Blue Cross Project,” because insurance claim denials like these need to be nipped in the bud early, before the discriminatory practices spread to other procedures and other states.

In would appear that to Blue Cross, being a podiatrist makes you a second-class doctor. That notion needs to be stomped out with great vigor whenever and wherever it manifests itself. As a podiatrist you are entitled to the same respect and treatment as the best orthopedists, rheumatologists, hand surgeons, etc. The document linked below makes this case, and I have compiled this document to assist you in ensuring that your reimbursements continue coming in unhindered by the chance whim of some power-hungry pencil-pushing insurance claims evaluator sitting at a desk somewhere, who thinks he has the right to decide whether or not you are “good enough” to perform an ultrasound exam and get paid for it.

Click here to download the PDF file version.

Click here to download the Microsoft Word version.

Click here to download the Apple Pages version.

(You may be able to simply click the link above. It may open up in a separate window, or it may download to your computer, depending on your computer’s settings. If that doesn’t work for you, right-click the link and choose "Save target as" or "Save file as"and save the file to your desktop.)