SHOULD I GO FOR PHYSICAL THERAPY?
Oftentimes, your physicians will give you a recommendation
or listing of physical therapists in your area. Sometimes
your insurance company will guide you with regard to who
is "in network" for your insurance plan. Ultimately,
however the decision as to where you receive your care
is up to you. If you have a specific request, you need
to let your physician or insurance company know. If we
are not in network for your insurance company most plans
have out-of-network benefits that will allow you your
choice in physical therapy.
VOLUNTARY TERMINATION OF CARE
It is the policy of Nevada Physical Therapy Inc. that
if you should choose to suspend or terminate your care
and treatment, any outstanding fees for professional
services rendered to you will be immediately due and
IT IS THE PATIENT’S RESPONSIBILITY:
- To know their insurance policy. Patients should be
aware of their benefit coverage including which healthcare
providers are contracted with their plan, covered and
non-covered benefits, authorization requirements, benefit
limitations, and cost share information, such as deductibles,
co-insurance, and co-payments. If you are not familiar
with your plan coverage, we recommend you contact your
-To obtain a referral from their Primary Care Physician
(PCP) and/or obtain authorization for treatment from
their insurance carrier prior to receiving services.
Any non-covered services are the financial responsibility
of the patient.
-To pay their co-payment at the time of services, estimated
co-insurance amount, and deductible.
-To provide a current copy of your insurance card and
if that insurance should change a copy of your new card.
-To promptly pay any patient responsibility indicated
by their insurance carrier.
-To facilitate in claims payment by contacting their insurance carrier, when claims have not been paid.
IT IS NEVADA PHYSICAL THERAPY INC. RESPONSIBILITY:
-To provide quality medical care.
-To file insurance claims as a courtesy to the patient.
A 60-day period will be
extended for pending insurance
payment, after which the patient may be
for the entire balance.
-To have open communication with our patients regarding
and financial care
When using insurance, a current prescription signed
by a medical doctor, and updated every 30 days, is required
for treatment. If treatment continues for a prolonged
period, prescriptions must be updated regularly and
coordinated with your medical doctor. You are responsible
for these updates. Let us know when you will be seeing
your physician so we can have a progress report ready.
Medicare patients are required to consult with their
physicians every 30 days while receiving physical therapy.
Please let us know when you are seeing your doctor so
we can have a progress report ready. Physical therapy
prescriptions are required for treatment.
We are preferred providers for many health plans. In
addition, if you have a personal injury/automobile accident
with individual coverage, your are a Medicare patient,
or have a work Comp injury, we do submit these claims
and bill directly for you based on our ability to obtain
prior authorization for your treatment.
In order for us to bill your health insurance company,
we will need the following information provided to our
-A current copy of your Health Insurance Card, that
is legible to read all
information on the card
-A current prescription from you medical doctor
-Signed release/benefit assignment forms.
Physical therapy coverage is often confusing.
Although we can assist you with your insurance questions,
it is strongly suggested that you contact your insurance
directly to determine your coverage for outpatient physical
therapy. You may be required to make deductible or co-insurance
payment as part of you coverage. Customary method of
billing fo physical therapy services is based on the
amount and type of services you receive: Therefore,
we cannot tell you exactly how much your treatments
will cost. However, once we have verified you coverage,
we can notify you of your approximate coverage. Please
feel free to talk to our billing office regarding your
Patients are responsible for services
not covered by insurance, including care that their
insurance deems is" "Not Medically Necessary"
even though a physician may have recommended the treatment.
Patients without insurance will be set
up as "PRIVATE PAY" with payment due at the
time services are rendered. Cost of the treatment will
be determined at the start of your physical therapy.
Overall patients are ultimately
responsible for knowing the details of their coverage
(e.g. percent of coverage, deductibles, co-payments,
limits on number of visits or date of coverage, your
referring physician, or our status as a preferred provider,
etc), which may determine the extent of your financial responsibility.