Frequently Asked Questions
Frequently Asked Questions
What are the criteria for becoming a patient?
Patients are accepted by physician referral. Most insurance companies require this for reimbursement and to meet your deductibles and co-pays. There are some insurance providers who allow patients to see a physical therapist without a referral. If you have such coverage, we would be happy to see you for an initial evaluation, but reserve the right to refer you back to a physician for further evaluation or diagnostic work up if it seems appropriate.
Are there any forms to fill out before I start treatment?
Prior to treatment, you will be asked to provide proof of insurance and meet any co-pays your insurance may require. You will need approximately five minutes before seeing the therapist to fill out the following forms:
- Brief medical history
- Kinetx cancellation policy that you will review and sign
- Patient privacy right
You must read this and sign an acknowledgement that you understand your rights as a patient. Along with this you will be asked to sign a consent for treatment and authorization to release your medical records to appropriate parties (e.g. insurance companies, your physician, your attorney).
How can I get my insurance to pay?
Coverage is verified prior to treatment but it is the responsibility of the patient to understand his/her coverage prior to the first appointment. Kinetx will bill your assigned provider directly. Any co-pays or co-insurance will be billed directly to you by Kinetx. Co Pays must be paid at the time of each visit. If you have supplemental insurance, we will bill them for any eligible fees not covered by your primary provider.
If the requirements of your insurance company is not adhered to or if coverage is terminated during your treatment at Kinetx, you will be responsible for any services rendered. Please feel free to ask us at any time the status of your coverage so we can make sure payment is the responsibility of your insurance carrier and not you personally.
* The cost of treatment is dependent on the services rendered. We recognize that health care costs can be prohibitive and will work with you to provide the treatment you require within your budget.
What insurance do you accept?
We accept most insurance plans along their usual and customary fees. We accept nearly all major insurance carriers including others such as Medicare, Workers Compensation and Motor Vehicle insurance provided it includes a medical component. We are members of PTPN, a nationwide preferred provider organization of Physical Therapy practices that contracts with most of the major insurance carriers. We do not accept Medical, Cigna HMO, Blue Cross/Blue Shield HMO, treatment on assignment or liens.
Medicare Patients: In 2011, all Medicare patients have an approximate $1,800 cap on combined Physical Therapy and Speech Rehabilitation.Medicare places the responsibility of knowing the status of this cap on the patient. Since we can’t retrieve your information from other medical facilities, you must track your expenditures for these services. Should your cap be reached, the responsibility of payment falls upon you as a patient. If you have supplemental, we recommend you discuss your coverage with them prior to your first treatment.
Are there any forms I need to have my doctor fill out?
Your doctor need only fill out a prescription or referral form, with a diagnosis and frequency and duration of treatment. There does not need to be any specifics of treatment. The referral may read “Evaluate and Treat”. If the doctor wishes to send information regarding your condition, such as MRI/X-Ray reports, test results, etc., it will be very helpful to the Physical Therapist in determining the appropriate individual program, but note it is not a requirement for treatment.
Should I do anything special in preparation for coming in?
Please make sure your are on time for your scheduled appointment. Any late arrivals may cause your appointment to be rescheduled or cut short in an effort to make sure those after you have their full treatment. It is recommended that you wear or bring appropriate clothing for treatment. We have loose shirts and shorts available, but you may be more comfortable in your own clothing.
What if I can’t make it to an appointment?
The outcome of your treatment depends on your compliance with the treatment plan, and as such, we expect patients will attend their sessions as scheduled. We also try to meet the scheduling needs of our patients. Patients who do not come for their appointments take a space that could otherwise be given to another. We expect that patients will notify the office 24 hours in advance of their scheduled appointments in the event of a cancellation.
There is a $40.00 fee charged for missed appointments. Your insurance will not be billed for this, but you will be billed directly. If you reschedule within the same week, you will not be charged. We reserve the right to terminate your treatment program if cancellations are continual.
How long does a single treatment take?
Allow 1.5 hours for the initial treatment. Subsequent treatments will average one hour, but may take longer, dependent upon your treatment program.
How long does a typical rehab program take?
An average rehab program lasts 4-6 weeks, 2-3 times per week. If surgery is involved, or the patient must return to a very physical job or sport, the duration may be longer.
Our philosophy includes patient education and home exercise programs, with rapid progression to an independent program where the course of treatment is greatly affected by the dedication and involvement of the patient.