Do you accept insurance?

I am an out-of-network physical therapy provider, which means I am not contracted with any insurance companies. I do however, provide patients with clinical documentation, and invoices which they can submit to their insurance company to request reimbursement. The amount of reimbursement varies based on your insurance carrier, as well as your individual plan that you have with your provider. Historically, most of my patients have reported full reimbursement for services I have provided. However, it is recommended to perform your due diligence and always check with your insurance carrier about your out-of-network physical therapy benefits if you would like to request reimbursement.

I work as an out-of-network provider due to the patient treatment model that I have at my office, in which only one patient is seen at a time for either 30 or 60 minutes, depending on what is clinically indicated for each patient. There is no multiple or overlapping booking, which allows my patients to have the attention of their therapist for 100% of the time they are being treated. I would not be able to treat patients in this manner if I was an in network provider, due to the low reimbursement rates from insurance companies. Unfortunately, this is the reason why in-network physical therapists usually schedule 3-4 patients per hour.

The treatment model I am able to utilize as an out-of-network provider allows me to be able to provide a higher quality and standard of care. This also results in less overall visits and decreased duration of services needed by the patient so they can achieve their goals and move forward with their life sooner.

do i need a prescription from a physician to see you?

No. As of February 13, 2003, New Jersey is a Direct Access state for physical therapy, which means that a patient can seek treatment from a physical therapist without a referral or prescription from a physician. At our office, you can save time and money and be seen immediately for physical therapy.

If you are interested in seeking out-of-network reimbursement for physical therapy from your insurance, you should check with your carrier to make sure you know whether or not they require a physical therapy prescription from your physician or dentist for reimbursement. This varies from carrier to carrier.

How long will I need treatment?

The length of treatment needed for each patient is individual-specific. Every patient’s condition or injury is different, as well as each individual’s ability to recover from and handle them. While there is no definitive way to predict one’s length of treatment, it is easier to provide an estimate based on a combination of a clinician’s experience and what is in the research, once a comprehensive initial evaluation is performed. Generally speaking, chronic conditions take longer to resolve than those which are more acute. Other factors that play into this are a person’s current level of health, past medical history, activity level, nutrition, stress levels, and sleep quality and quantity.

Due to the focused, one on one treatment I provide, most patients are seen 1x/week and provided with an individualized, specific home treatment/exercise program to perform in between visits. The majority of my patients are able to achieve full relief of symptoms and return to function in 4-8 visits. Some patients are seen 2-3x/week, however this is the exception and mainly for acute cases or cases involving a chronic neurological condition.

If I am a Medicare beneficiary can I privately pay for your services? 

At this time, if a Physical Therapist provides services to a Medicare beneficiary that would normally be covered by Medicare, the practice is required to bill Medicare directly and is not allowed to accept private self-payment for the services. The Social Security Act has a mandatory claims submission requirement, so a Physical Therapist cannot choose to not enroll in the Medicare program AND collect cash from a Medicare beneficiary. Having said this, there are exceptions.  If the service is “non-covered” (e.g.. maintenance therapy, prevention, wellness/fitness), then the Physical Therapist could collect out of pocket payment from the beneficiary, but only in those circumstances.  If you are interested in our services and are a Medicare beneficiary, please call us to discuss your particular situation.  Every effort will be made to provide care to you within the guidelines of all state, federal and professional laws.

what should I wear?

It is important that you wear loose, comfortable, nonrestrictive clothing. Your clothes should also allow the ability to evaluate and treat your area of injury.