PHYSICAL THERAPY

Do I need a referral?

In Colorado, you enjoy direct access to our top-notch physical therapists. While referrals aren't always necessary, they can offer insights into your medical history. With or without a referral, our skilled team is committed to delivering personalized care to enhance your physical well-being.

 

Do I have out-of-network benefits?

To better understand the coverage you have, we advise getting in touch with your insurance provider directly. Our team is dedicated to supporting you throughout this process and ensuring that you have all the necessary information to maximize your benefits.

 

How do I get reimbursed?

To initiate the reimbursement process for out-of-network physical therapy services at our clinic, please follow these steps:

1. Obtain a detailed invoice from us that includes the date of service, CPT codes, and charges.

2. Contact your insurance provider to confirm your out-of-network coverage and understand the required documentation.

3. Fill out any necessary claim forms provided by your insurance company.

4. Attach the invoice and any additional documents requested by your insurer.

5. Submit the completed forms and documents according to your insurance's instructions.

Reimbursement rates and processing times vary, so we recommend staying in touch with your insurance company throughout the process. Our team is here to assist you with any information you may need to facilitate a smooth reimbursement experience.

 

What is Direct-Pay Physical Therapy?
Direct-Pay Physical Therapy, also referred to as "Out of Network Physical Therapy," involves a personalized agreement between you and the clinician to target your specific goals. Payment is completed either at the time of the session or in advance if you choose a pre-purchased program. With this approach, the therapist can dedicate their full attention to your needs, ensuring the delivery of high-quality care without the constraints of insurance reimbursement considerations.

 

How does Direct-Pay differ from Traditional Physical Therapy?
Traditional Physical Therapy is often covered by medical insurance through "In-Network" providers. These providers bill insurance using specific service codes (CPT codes) and receive reimbursement based on contracts negotiated with insurance companies. These reimbursements vary across different insurance plans, and some contracts offer rates that may not adequately support the clinic's operational costs. This situation sometimes leads to practices overbooking patients or delegating services to unlicensed professionals like physical therapy aides.

 

What are the benefits of Direct-Pay Physical Therapy?

Opting for our Direct-Pay model offers a range of advantages. With Direct-Pay, you receive dedicated one-on-one care from a Doctor of Physical Therapy. This approach is backed by a lower patient volume, allowing the therapist to invest ample time in guiding you towards achieving your goals. This personalized attention fosters a more comprehensive and effective rehabilitation experience. Similar to traditional physical therapy practices, our documentation aligns with legal standards for evaluations, treatment visits, and progress notes, resembling practices found in "In-Network" settings. Unlike insurance-driven approaches, Direct-Pay empowers therapists to address your unique needs holistically, going beyond the limitations of insurance constraints and increasing the chances of successful outcomes. In addition, our commitment to high-quality, expert care sets us apart from insurance-assigned therapists who are often chosen based on location rather than expertise, providing you with a truly tailored and effective treatment journey.

 

Why choose Direct-Pay for your Physical Therapy needs?
Direct-Pay Physical Therapy offers a unique opportunity for you to experience specialized care tailored precisely to your goals. By sidestepping the complexities of insurance reimbursement, our model allows therapists to provide unhindered attention and top-notch services. Whether you're seeking recovery from an injury or working towards enhanced physical wellness, our Direct-Pay approach ensures a focused and dedicated partnership between you and our experienced clinicians.