billing + logistics
Utilize Flex Spending Accounts (FSA) or Health Savings Accounts (HSA) for physical therapy services, or pay out-of-pocket. If your insurance plan includes out-of-network benefits, you may be eligible for reimbursement. This is based on your out-of-network deductible, coinsurance and out-of-pocket minimum. On an average, clients are reimbursed between 50%-70%. To ensure proper use of these benefits, you must contact your insurer before initiating sessions.
As an out-of-network provider, services are not limited in number of sessions, sessions are not limited in length and all sessions are one-on-one with a skilled physical therapist.
Ryanne Tanae Glasper, LLC is an out-of-network provider of physical therapy.
Reimbursement may be available to you if your insurance plan includes OUT-OF-NETWORK benefits.
ALL clients/patients will receive a SUPERBILL, which you may submit to your insurance for possible reimbursement.
Reimbursement may require documentation regarding your care and progress. Submit documentation requests in writing, allowing at least 15 business days for all requests—email requests to billing@ryannetanae.com.
Reimbursement is NOT guaranteed as it is at the discretion of your insurance provider.
DIRECT ACCESS allows you to #getpt1st! In Maryland, Virginia and New York, a prescription is NOT required to initiate physical therapy services. Be sure to check with your insurance carrier for their specific policies regarding prescriptions for reimbursement. See below for specifics as the law varies from state to state.
Direct Access Laws by state:
MD - DIRECT ACCESS is granted with NO stipulations or additional provisions.
NY - DIRECT ACCESS is granted for 10 sessions or 30 days, “whichever comes first”.
VA - DIRECT ACCESS is granted for 30 “consecutive days”, after an initial evaluation (IE), under the following conditions:
(i) if the patient is NOT receiving care from any other licensed practitioner (doctor of medicine, osteopathy, chiropractic, podiatry, dental surgery, nurse practitioner, licensed physician assistant) for the symptoms he/she is seeking PT for OR
(ii) if the patient IS receiving care for the symptoms he/she is seeking PT for from any other licensed health-care professional (as listed above) AND
(a) identifies licensed practitioner
(b) provides WRITTEN consent for the PT to release ALL personal health information and treatment records to the identified practitioner
(c) the PT notifies the licensed practitioner NO later than 14 days once treatment begins and provides a copy of the IE and patient history
IE can not be performed if the therapist has performed an IE for the same condition within the immediately preceding 60 days.
Services may be provided with no restrictions for student-athletes in a school setting; workplace ergonomics; IEPS of special education students; wellness, fitness, and health screenings; and prevention of disabilities, impairments, and functional limitations.
CANCELLATIONS
24-hour notice is requested to reschedule or cancel sessions. Click CHANGE/CANCEL APPOINTMENT in your confirmation email or contact me directly via phone at 202.681.7565 (preferred if < 24 hours) or email at connect@ryannetanae.com.
LATE-cancellations (< 24-hour notice) will result in the client forfeiting that day's scheduled session WITHOUT refund.
NO-SHOWs will result in the client forfeiting that day's scheduled session WITHOUT a refund.
Packages DO NOT expire; however, clients are encouraged to maintain the recommended plan of care for optimal outcomes.
Package RATES are contingent upon attending the allotted sessions purchased. If you choose to STOP the use of your package, USED sessions will default to the standard rate of $190 per session.
UNUSED sessions may be eligible for REFUND. Submit a refund request in writing, allowing at least 30 business days to reply —email requests to billing@ryannetanae.com.
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