WHAT IS CASH-BASED PHYSICAL THERAPY SERVICES?

We offer services at significantly lower rates in order to help more people improve their health through fitness and nutrition. We are able to do this by being a cash-based treatment model. In a cash-based treatment model, the physical therapist enters into a contract with the patient to provide physical therapy services in a manner that both parties have determined will help them reach treatment goals most efficiently. The patient pays in advance or at the time of service, allowing the therapist to focus attention on providing the best possible service while keeping administrative costs low. Even though this model is called cash-based you are not limited to cash payments, You may pay for services with cash, credit, debit, check, Flexible Spending Accounts (FSA), Health Savings Accounts (HSA) and Health Reimbursement Accounts (HRA).

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CAN MY INSURANCE BE BILLED FOR CASH-BASED PHYSICAL THERAPY SERVICES?

Most insurance companies, with the exception of Medicare, Medicaid and some HMOs, will provide payment for services received “out of network”. Going out of network means that you can choose to see a physical therapist who is not a participating provider with your insurance company. Many patients choose to receive services out of network in order to see the physical therapist of their choice. The end goal of documentation and billing is the same – getting paid – it’s just that, in the case of cash-based services, it is the patient who is waiting for reimbursement rather than the provider

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WILL I END UP PAYING MORE FOR CASH-BASED PHYSICAL THERAPY?

In many cases, the out of pocket expenses for a course of physical therapy will actually be LESS for services provided at Unlimited Potential Performance Therapy. In large part, this is due to the ability to charge less per visit, with these charges being well below the national average charge submitted to insurance in a typical in network outpatient practice. Unlimited Potential Performance Therapy can charge less because the simplified cash-based fee structure streamlines billing and does not require hiring billing personnel or paying fees to a third party billing service. This allows Unlimited Potential Performance Therapy staff to focus all energy on patient care, and allows patients to make informed decisions regarding the costs of their health care choices.

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WHAT STEPS ARE INVOLVED IN SUBMITTING A CLAIM TO MY INSURANCE COMPANY?

The process is actually quite simple: Unlimited Potential Performance Therapy will provide you with an invoice at the time of service, and you may submit that invoice, along with your receipt of payment for said service to your insurance company for reimbursement. The invoice has all of the necessary information (business name and address, tax ID, national provider identification, license numbers, etc.) as well as the patient’s ICD-10 (diagnosis) and CPT (billing) codes. You may choose to submit bills following each visit, one time per month, or at any other interval, typically up to one year following your treatment visit.