WHAT IS CASH PAY PHYSICAL THERAPY ?
In today’s blog, we will hear from another one of our medical partners Dr. Haskins with Rezalo Health & Performance. Dr. Haskins is going to speak about how to work with an out of network provider for physical therapy. After all, you should be the one to choose what therapist you want to work with.
At Dynamic Fitness & Rehabilitation we have partnered with Rezalo Health & Performance in order to help raise the standard of what rehabilitation looks like.
WHAT IS CASH-BASED PHYSICAL THERAPY?
In a cash-based treatment model, the physical therapist provides physical therapy services in a manner that both parties, the patient and therapist, have determined will help them reach treatment goals most efficiently. The patient pays at the time of service, allowing the therapist to focus attention on providing the best possible service while keeping administrative costs low. You may pay for services using actual cash, a check, credit/debit card, or HSA.
Typically, coding for physical therapy services provided (CPT codes) is determined using a complex matrix of "timed codes" and "untimed codes". This often results in confusing patient bills, as the amount billed to insurance will vary from visit to visit based on the exact services provided that day.
Providing a cash-based service eliminates this confusion and allows for clarity in decision making on the part of the patient and their provider. Documentation for evaluations, treatment visits, and progress notes are performed just like any physical therapy practice and comply with all legal requirements.
“OUT OF NETWORK’ WITH MY INSURANCE
The services that we provide would be considered “Out of Network” as we have not entered into a contract with your insurance provider. Most insurance companies, with the exception of Medicare, Medicaid, and some HMOs, will provide reimbursement for services received "out of network".
Going out of network means that you can choose to see a physical therapist who is not a participating provider with your insurance company. Many patients choose to receive services out of network in order to see the physical therapist of their choice. The end goal of documentation and billing is the same - getting paid - it's just that, in the case of cash-based services, it is the patient who is waiting for reimbursement rather than the provider.
HOW DO I FIND OUT WHAT MY INSURANCE COVERS?
Give us a call at (813) 355-8877 or visit our website at https://rezalo.com and we’ll be happy to help you figure out your benefits. There are MANY insurance companies, each with their own contracted rates and regulations, which can often dictate how many visits you’re allowed to see us.
We at Rezalo Health & Performance would rather focus our energy on taking care of our patients and not allowing insurance companies to determine what is necessary. RH&P is a qualified medical partner of Dynamic Fitness & Rehabilitation located in Tampa, Florida.
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