Patients who began treatment before January 1, 2025 now have a new insurance plan for dates of service on or after that date. A frequent question that arises is whether a new evaluation is required when a patient switches insurance during an ongoing episode of outpatient therapy.

The good news is that in most cases, a new evaluation is not required simply because the patient changed insurance. The key exception is if the new insurance carrier specifically mandates a new evaluation. However, providers should be aware that the new insurance may require prior authorization to continue therapy services, even if a new evaluation is not necessary.

For patients who switch to original Medicare, a new evaluation is not required or appropriate. What is required, however, is a signed and dated plan of care starting from the first date of service billed to Medicare. This plan must be completed by the treating therapist and signed by the referring physician or nonphysician practitioner (NPP) responsible for overseeing the patient’s care. Also, keep in mind that this first visit under Medicare will count as visit one toward the 10-visit minimum progress report period.

If the patient transitions to a Medicare Advantage (MA) plan, a new evaluation is also not typically required, unless the MA plan has a policy stating otherwise. However, similar to private insurance carriers, prior authorization may be necessary for dates of service under the new plan. It’s crucial to confirm the requirements of the specific MA plan to ensure compliance and avoid reimbursement delays.

In summary, while changing insurance during treatment doesn’t automatically require a new evaluation, it does often involve verifying prior authorization and updating documentation to align with the new payer’s policies. Staying ahead of these administrative steps helps ensure uninterrupted patient care and proper reimbursement.

¨If you or someone you know might need physical therapy, please call us at 305-570-1633, or if you are interested in opening a Physical Therapy Franchise. Email us franchise@physicaltherapynow.com or visit our website at www.physicaltherapynow/franchise¨

Physical therapy isn’t just about addressing physical injuries or conditions, it also has a profound impact on mental health. While the primary focus is usually on the body’s physical recovery, the benefits of physical therapy extend beyond just healing muscles, joints, and bones. Research has increasingly shown that physical therapy can also support mental health, helping individuals cope with stress, anxiety, depression, and other mental health conditions.
Here’s how physical therapy can positively influence mental health:
When you engage in physical activity, your body releases endorphins, commonly known as the “feel-good” hormones. Endorphins act as natural painkillers, but they also boost your mood, reduce stress, and promote an overall sense of well-being.

People suffering from anxiety often experience tense muscles, tightness, and an overall sense of physical discomfort. Physical therapy includes targeted exercises that can help release muscle tension, ultimately reducing physical symptoms of anxiety.

Chronic pain or injury can lead to poor sleep, which in turn exacerbates mental health issues such as depression and anxiety. Regular physical therapy can help individuals improve their mobility and reduce pain, making it easier for them to get better quality sleep.
¨If you or someone you know might need physical therapy, please call us at 800-481-4582, or if you are interested in opening a Physical Therapy Franchise. Email us franchise@physicaltherapynow.com or visit our website at www.physicaltherapynow/franchise¨

FOR IMMEDIATE RELEASE
Contact:              Sharmi Cattani

Physical Therapy NOW Franchise

Franchise@physicaltherapynow.com

(786) 942- 3640

Physical Therapy NOW INVITES ENTREPRENEURS TO THE FRANCHISE SHOW FORT LAUDERDALE

Ft. Lauderdale, FL – Physical Therapy NOW will be exhibiting at The Franchise Show Ft. Lauderdale May 5^th and 6^th at the Broward County Convention Center. Hundred of entrepreneurs will be walking the show to meet face to face with dozens of franchise brands. This is a place for people interested in starting a business to understand the financial model of franchising, explore the benefits owning a business while benefiting from experience and vested partner and to familiarize themselves with dozens of franchise opportunities.

Take the first step towards realizing your dream of business ownership by visiting our booth at The Franchise Show.  Franchising with Physical Therapy NOW is a big move. But it’s also a smart move, and probably easier than you think. In just 3-4 months, you can be holding the keys to your very own PT NOW practice or practices! Whether you’re interested in franchising a single location or multiple practices, you will exclusive access to members of the Franchise Executive Team including our CEO Andres Zapata at the show.

Email Franchise Vice President Sharmi Cattani to receive your complimentary invite this life changing event.  Franchise@physicaltherpynow.com

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