Questions about physical therapy?
We know you have questions. Click on any of the commonly asked questions below to see the answer.
We know you have questions. Click on any of the commonly asked questions below to see the answer.
Physical Therapists are experts in movement and function, so they do not confine their talents to only treating people who are ill. A large part of a Physical Therapist’s program is directed at preventing injury, loss of movement, and even surgery. Physical Therapists work as consultants in industrial settings to improve the design of the workplace and reduce the risk of workers overusing certain muscles or developing lower back pain. They also provide services to athletes at all levels to screen for potential problems and institute preventive exercise programs.
The cornerstones of Physical Therapy treatment are therapeutic exercise and functional training. In addition to “hands-on” care, Physical Therapists also educate patients to take care of themselves and to perform certain exercises on their own. Depending on the particular needs of a patient, Physical Therapists may also “mobilize” a joint (that is, perform certain types of movements at the end of your range of motion) or massage a muscle to promote proper movement and function. Physical Therapists also use methods such as ultrasound (which uses high frequency waves to produce heat), hot packs, and ice.
Most forms of Physical Therapy treatment are covered by insurance, but the coverage will vary with each plan. Most states do not legally require patients to see their physicians before seeing a Physical Therapist (Direct Access). Most of the time all you have to do is ask your doctor if Physical Therapy is right for you.
Reference: APTA
More than half of all Americans are suffering from pain. Whether it is acute pain or chronic pain, there’s a ton of evidence showing that pain in America is a widespread problem that commonly results in sick days from work, and can be a precursor to opioid use and dependency. However, many do not even know that Physical Therapists are well equipped to not only manage pain but also its source.
Physical Therapists are experts at treating movement and neuro-musculoskeletal disorders. Pain often accompanies a movement disorder, and Physical Therapists can help correct the disorder and relieve the pain.
Would you prefer treatment from a Physical Therapist (PT) who works for a physician or one that owns a private practice? We leave it up to you to draw your own conclusions but here are some facts from three different studies:
At Professional, we believe we can provide you with the highest quality of care available and do it in a cost-effective manner.4 You will work closely with your Physical Therapist and in most instances, your treatment will be managed by the same Physical Therapist from the beginning to the end of your experience with us.
For many patients, one of the primary objectives is pain relief. This is frequently accomplished with hands-on techniques, modalities such as ultrasound, electrical stimulation, and/or heat or cold therapy. Movement often provides pain relief as well. Your Physical Therapist will provide you with the appropriate exercises not only for pain relief, but to recover range of motion, strength, and endurance.
In some cases, Physical Therapy techniques can be painful. For example, recovering knee range of motion after total knee replacement, or shoulder range of motion after shoulder surgery, may be painful. Your Physical Therapist will utilize a variety of techniques to help maximize your treatment goals. It is important that you communicate the intensity, frequency, and duration of pain to your Therapist. Without this information, it is difficult for the Physical Therapist to adjust your treatment plan.
In most states, physical therapists cannot make a medical diagnosis. This is something that your physician will provide for you. While physical therapists are important members of your medical team, physicians are typically the healthcare providers that will provide you with a medical diagnosis.
Physical Therapists (PTs) and Physical Therapist Assistants (PTAs) are licensed by their respective states.
Yes. Professional maintains records electronically, so we can provide you with the added convenience of visiting any of our many clinics, and any of our Physical Therapists will be able to follow your specified Treatment Plan.
In most cases, health insurance will cover all or a portion of the treatment costs. There may be out of pocket expenses (such as co-payments or deductibles) that the patient may be required to pay, which is determined by the patient’s insurance provider. If needed, we have a financial counseling team to assist with payment arrangements.
Any question pertaining to your coverage and financial responsibility is directed to our Eligibility and Benefits Department.
Our patients without insurance coverage or who are Out of Network with Professional can also opt to pay for treatment directly Out of Pocket (OOP). Contact your local office to discuss this option to start your care.
In most cases, you have the right to choose any Physical Therapy clinic. Our practices are in network with various insurance plans. The Eligibility and Benefits team can assist in answering insurance related questions.
Also, since Professional Physical Therapy maintains clinical records electronically, we can provide you with the added convenience of visiting any of our clinics, and our Physical Therapists will be able to follow your specified treatment plan.
Direct Access policy is driven by each individual state or specific insurance carrier.
Some states have a Physical Therapy Practice Act, which requires a diagnosis code before a patient can see a Therapist.
In addition, some payers also require a diagnosis code (physician referral or prescription) for services being rendered (for example – NY Medicare, ConnectiCare, Tricare, all require written prescriptions from the patients’ medical provider).
Billing for Physical Therapy services is similar to billing for a doctor’s visit. The following occurs when a patient is scheduled for treatment:
It is important to understand that there are many small steps (beyond those outlined above) within the billing process. Exceptions are common, and missing information and/or miscommunications may occur. This can delay the payment process.