Physical Therapy: We operate in a direct access state where, if your insurance plan authorizes self-referral to physical therapy, a physician referral is not necessary for you to be seen by a licensed therapist. Please check with your insurance though as many health insurance plans require a physician’s referral for therapy to be covered. We also offer treatments, services and/or products that do NOT require a referral and are available on a self-pay basis.
Occupational and Speech Therapy: Yes.
We participate in the majority of major health insurance plans including Medicare and Medicaid. Please contact us prior to your first visit to see if we participate with your specific health plan.
Your therapist will conduct an evaluation of your condition lasting between 45-60 minutes. The evaluation is necessary to create a program designed specifically to address your needs for a maximum recovery
We recommend comfortable clothing such as sweatpants or shorts, a T-shirt or tank-top and sneakers.
Each visit will last 55 minutes on average. Times vary due to the treatment and exercises being performed.
This is highly variable. You may need one visit or you may need months of care. It depends on your diagnosis, the severity of your impairments, your past medical history, etc. You will be re-evaluated on a monthly basis and when you see your doctor, we will provide you with a progress report with our recommendations
Billing for therapy services is similar to what happens at your doctor’s office. When you are seen for treatment, the following occurs:
The therapist bills your insurance company, Workers’ Comp, or charges you based on Common Procedure Terminology (CPT) codes.
Those codes are transferred to a billing form that is either mailed or electronically communicated to the payer.
The payer processes this information and makes payments according to an agreed upon fee schedule.
An Explanation of Benefits (EOB) is generated and sent to the patient and the physical therapy clinic with a check for payment and a balance due by the patient.
The patient is expected to make the payment on the balance if any.
It is important to understand that there are many small steps (beyond the outline provided above) within the process. Exceptions are common to the above example as well. At any time along the way, information may be missing, miscommunicated, or misunderstood. This can delay the payment process. While it is common for the payment process to be completed in 60 days or less, it is not uncommon for the therapy clinic to receive payment as long as six months after the treatment date.
Here at Rock Rehabilitation, we offer cash options for our clients who are seeking an alternative form of payment instead of going through their current medical insurance.
See our insurance & cash pay page