Question 1

Do you accept insurance?

Accepted Answer

I am registered as an out of network provider with most large insurance companies.
 
My billing company and I will submit all billing forms and necessary paperwork to the insurance companies for my patients who receive physical therapy at my private practice and telehealth physical therapy.  For home physical therapy visits you will be given a receipt with appropriate coding and tax information that can be submitted to your insurance company for reimbursement.      
 
Most of the patients I see in my office or through telehealth have zero interaction with their insurance company when handling physical therapy claims and authorizations.    
 
I do accept Medicare Advantage plans (Medicare part C) with a preferred provider organization (PPO).
 
I am not a Medicare part B, Medicaid, or HMO provider.  
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Question 2

If you do not accept my insurance, what is the cost per session? "

Accepted Answer

If requested services are not covered by your insurance or if I am not a registered provider for your insurance plan then cash payments will be accepted.  Cash payments in the form or credit card, check, HSA (health saving account) cards, FSA (flexible spending account) cards, Venmo, and cash will be accepted.
 
Telehealth- 60 minute evaluation $150
                  30 minute follow up sessions $75
 
Private office visits- 60 minute evaluation and treatment sessions $150
 
Home Physical Therapy visits- 60 minute evaluation and treatment sessions $200 
 
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Question 3

If you do accept my insurance, what is the cost per session? "

Accepted Answer

Some insurance plans have an annual deductible that needs to be met before the insurance will begin to reimburse for any healthcare service.
 
Once the annual deductible is met there will be zero out of pocket cost to you for any and all approved physical therapy sessions. 
 
Some insurances limit the amount of sessions they will approve on a pre-determined numerical basis, on a medically necessary basis, or through a pre-authorization process.  This will all be explained to you prior to your evaluation.  There will never be any "surprise bills".
 
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Question 4

How do I know if I have out of network benefits?

Accepted Answer

During our initial contact I will ask for your insurance information.  My billing company will screen your insurance benefits to see if you have out of network benefits and other applicable details to your insurance plan such as what your annual deductible is and if it has been met. 
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Question 5

Who will submit the bills for me?

Accepted Answer

My billing company and I will submit all billing forms and necessary paperwork to the insurance companies for my patients who receive physical therapy at my private practice and telehealth physical therapy.  For home physical therapy visits you will be given a receipt with appropriate coding and tax information that can be submitted to your insurance company for reimbursement.      
 
Most of the patients I see in my office or through telehealth have zero interaction with their insurance company when handling physical therapy claims and authorizations. 
 
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Question 6

Is physical therapy effective through Telehealth?

Accepted Answer

Yes, physical therapy evaluations and treatment sessions can be completed thoroughly and successfully through telehealth.
 
Questions and feedback between the physical therapist and patient are easily exchanged through telehealth.  Demonstrations and instructions of exercises, functional activity training, postural education, safety recommendations and more can be done through telehealth.
 
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Question 7

How will we connect for a Telehealth session?

Accepted Answer

Usually patients will use their cell phone for telehealth but some will use the web camera on their computer or laptop.
 
You will receive a telehealth link through email or text message to click on before your appointment.
 
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Question 8

Do I need a prescription or referral to begin physical therapy?

Accepted Answer

No you do not need a prescription or referral to begin physical therapy in New York State.
 
Section 6731 of the Education Law of New York State allows a physical therapist to evaluate a patient without a referral.
 
The New York State law, Chapter 298 of the Laws of 2006, allows physical therapists with three years of practical experience to treat patients without a referral.
 
A referral should be obtained if the physical therapy episode of care is longer than 30 days or 10 visits after the first treatment session. 
 
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Question 9

What is the McKenzie Method of MDT?

Accepted Answer

The McKenzie Method of MDT is a reliable and evidence-based assessment and treatment process intended for musculoskeletal disorders.  Most patients that perform Mckenzie MDT will identify end range movements and functional postures that provide quick relief of symptoms.
 
If utilized correctly, the achievable goals of the McKenzie Method in a cost- and time-effective manner are to:
 • Accurately understand the patient's presentation and behavior of symptoms.
 • Determine the most appropriate and effective treatment plan.
 • Eliminate symptoms and restore full function.
 • Empower the patient to self treat and prevent recurrences.
 • Inform patients if other medical advice or is needed.
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Question 10

How many patients do you see in an hour?

Accepted Answer

Only one patient is seen on an individual basis every hour.
 
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FAQ