The science of healing; the art of caring


  Contact : (540) 347-4005

FAQs

Where do I mail my payment?

Innovative Physical Therapy llc
381 Stuyvesant Street Suite 4
Warrenton,VA, 20186

Who do I contact if I have a question about billing?

You can contact our office at (540) 347-4005 or our billing service.

Physical Therapy Billing  Services LLC
Email:        info@ptbillingservices.net
Address:   112 West 4th Street, Clare, MI 48617
Phone:      (989) 424-6300

How often will I receive a bill from your office?

Statements will be sent out monthly,  however you will only receive a statement if your insurance has paid on claims.

Why is my statement different each time?

Our statements are generated each month from what payments have come in from your insurance company. Our treatments differ with each visit and your insurance company has different payments for each type of treatment. If you have a balance it will just add to the previous balance.

Why did it take so long for me to receive a statement?

We have to wait to receive payment from your insurance company before we can bill you for your portion of the claim. Sometimes there is a delay from the insurance carrier because they have requested information from either the patient, another doctor or our facility. Once they receive the information they will release payment to us and then we can bill you for your portion.

What if I cannot pay my bill in full?

Please, just call our office  at 540 347-4005 so that we can set you up on a comfortable payment plan until your bill is paid in full.

Why does my insurance company send me accident information forms?

With physical therapy and the Diagnosis codes they sometimes will check to make sure another insurance may not be responsible for the bills. Ex: Auto Accident, Workers Comp. Just be sure to completely fill out the forms and send back no matter what the cause is. If they are not sent back in a timely manner, the insurance company may deny the claims and ask us to bill the patient.

Can you waive my Co-pays/Co-insurance or Deductible?

We cannot waive any co-pays/co-insurance or deductibles since this would be a violation of our contract with the insurance company as well as with the Board of Insurance. We can set you up on a payment plan if you cannot pay these in full.  All co-pays will be due at the time of service.  Co-insurance and deductibles can be billed after the insurance has processed the claim.

Do you take my insurance?

Innovative Physical Therapy accepts most insurance plans.  Our staff works closely with patients and insurance companies to facilitate insurance authorization and verification of coverage prior to initiating treatment. You can check with your insurance company prior to arrival of your first visit if you are uncertain.

Do I need a referral/prescription or prior authorization from my physician to see you?

Depending upon your insurance carrier, you may or may not need a referral/prescription or prior authorization from your physician. Please check with your insurance company to find out if you need a referral/prescription or prior authorization.

The State of Virginia under direct access allows you to to be evaluated and treated by a physical therapist for 14 business days without a prescription. After this period is up, you will need a prescription from a physician, physician assistant, nurse practitioner, chiropractor, or oral surgeon. However, some insurance companies will require the referral or prior authorization prior to treatment, if they are to pay for your care.

Is a referral the same as an authorization?

No. An authorization is an approval for services that comes directly from the insurance company and a referral is typically a paper referral page and or prescription given to you by your doctor’s office.

How do I get an authorization if my insurance company requires one to start physical/occupational therapy?

Some insurance companies require that your doctor’s office submit for the Initial Evaluation authorization.  You will need to contact the doctor’s office and ask them to submit the authorization request.  Some insurance plans will allow Innovative Physical Therapy to submit for therapy authorizations.  We will just need a prescription/paper referral from your doctor and any notes pertaining to the injury.  Your initial appointment can be scheduled once the authorization is approved.

Will you see me if I don’t have any insurance?

Yes. We accept patients who do not have insurance coverage.  We maintain a standard payment policy for all patients coming in for an appointment without insurance. The initial evaluation is $??? and ??? for each subsequent 1 hour visit ($??? for 1/2 hour visit). The payment will be required at the time of service.

Does my insurance plan cover Physical/Occupational therapy?

Most insurance companies cover PT/OT. For detailed information on your benefits please refer to your insurance company.

How do I find out what my benefits are?

As a courtesy, we will verify your benefits for you and give you a quote of the basics. This is a general quote and is not a guarantee of payment. For more in depth information, please contact your insurance company.

How do I contact my insurance company?

Located on the back (sometimes the front) of your insurance card there should be a member or customer services phone number you can call and ask for benefits information. Most insurance companies also have a website that provides benefit information.

What is the difference between co-pay, co-insurance and a deductible?

• Co-payment – A form of medical cost sharing in a health insurance plan that requires an insured person to pay a fixed dollar amount when a medical service is received. The insurer is responsible for the rest of the reimbursement.

• Co-insurance – A form of medical cost sharing in a health insurance plan that requires an insured person to pay a stated percentage of medical expenses after the deductible amount, if any, was paid.

• Deductible – A fixed dollar amount during the benefit period – usually a year – that an insured person pays before the insurer starts to make payments for covered medical services. Plans may have both per individual and family deductibles. For more detailed information you can download Definitions of Health Insurance Terms Here.

What information do I need to have ready to give when I call to schedule an appointment?

We need your personal demographics (name, DOB, Phone address etc.): your insurance company’s name, phone # and the policy # or ID #: the referring physician’s name (MD or DO only): referral and or authorization (if needed) information.

Will I be responsible for paying a bill if I provide insurance, but they do not pay?

Yes. Giving your insurance information and getting a benefits quote are not a guarantee of payment. There could be several reasons as to why the insurance company did not pay, like have not met your deductible, you have a co-insurance, or your benefits have changed.