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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¨
Sufrir un accidente de trabajo puede cambiar tu vida de un momento a otro. Ya sea una caída, un levantamiento de peso indebido o un accidente con maquinaria, el proceso de recuperación no solo incluye atención médica inmediata, sino también terapia física para recuperar tu movilidad y calidad de vida.
En Miami, conocer tus derechos y deberes legales relacionados con la fisioterapia después de un accidente es fundamental para proteger tu salud y también para asegurar cualquier compensación que puedas tener derecho a recibir.
Después de un accidente laboral en Florida, tienes los siguientes derechos:
• Atención médica apropiada: Incluye consultas médicas, terapias físicas, cirugías si son necesarias y medicamentos.
• Elección de proveedor: Generalmente, tu empleador o su aseguradora determinarán el proveedor médico autorizado, incluyendo la clínica de terapia física.
• Compensación por gastos médicos: Los costos de tu tratamiento, incluyendo las sesiones de fisioterapia, deben ser cubiertos por el seguro de compensación laboral (Workers’ Compensation).
Para proteger tus derechos y tu caso legal, debes cumplir con ciertas responsabilidades:
• Reportar tu lesión inmediatamente: Tienes un plazo muy corto para notificar a tu empleador, generalmente dentro de 30 días después del accidente.
• Seguir el plan de tratamiento: Debes asistir puntualmente a todas tus sesiones de fisioterapia y seguir las instrucciones médicas.
• Mantener registros: Guarda copias de todas tus citas, tratamientos, facturas y progresos de la terapia.
Si usted o alguien que conoce necesita terapia física, por favor llámenos al 305-570-1633.
Si está interesado en abrir una franquicia de Physical Therapy Now, envíenos un correo a franchise@physicaltherapynow.com o visite nuestro sitio web en www.physicaltherapynow.com/franchise.
Physical therapy can be incredibly effective in aiding recovery, but it’s essential to stay proactive and continue your self-care practices in between sessions. Here are some self-care tips to help you manage pain, improve mobility, and make the most out of your physical therapy treatment.
Follow Your Home Exercise Program
One of the most important things you can do is to follow the exercises your physical therapist gives you. Doing them regularly, as instructed, helps to reinforce the progress you’re making and can speed up recovery.
Rest and Recover
While staying active is important, it’s also crucial to give your body time to rest, especially after intense therapy sessions. Overloading your body can lead to setbacks.
Practice Proper Posture
Maintaining good posture throughout the day can help prevent unnecessary strain on muscles and joints. Poor posture can worsen pain and affect the progress you’re making in physical therapy.
Stay Hydrated
Staying hydrated is key to keeping muscles flexible and aiding in overall recovery. Dehydration can contribute to muscle cramps and stiffness, making your rehabilitation process more challenging.
¨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¨
When it comes to physical therapy, most people think of exercises, stretches, and treatments designed to help the body heal from injury, surgery, or chronic pain. But did you know that nutrition plays a crucial role in supporting the healing process and optimizing the results of physical therapy? Proper nutrition can not only accelerate recovery but also help prevent further injury, boost energy levels, and improve overall performance.
Protein is a key player when it comes to repairing and rebuilding muscles, especially after injury or surgery. Physical therapy often involves strengthening exercises that challenge the muscles. Consuming an adequate amount of protein can provide the body with the necessary building blocks (amino acids) to rebuild muscle fibers and tissues.
After an injury or surgery, inflammation can cause pain, swelling, and stiffness. Fortunately, certain foods have anti-inflammatory properties that can reduce swelling and promote healing. These key nutrients include omega-3 fatty acids, antioxidants, curcumin and ginger.
¨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¨
Surgery is often seen as a last resort for injuries and chronic pain, but what if there was a way to heal and regain function without going under the knife? In many cases, physical therapy (PT) can help patients avoid surgery altogether by addressing the root cause of pain, improving mobility, and strengthening the body to support healing.
In this blog, we’ll explore how PT can be an effective alternative to surgery for common conditions, and when it’s worth considering before opting for an invasive procedure.
Surgery comes with risks—complications, long recovery times, and potential side effects. Physical therapy, on the other hand, is a non-invasive, cost-effective, and often safer alternative. Through hands-on techniques, therapeutic exercises, and modalities like heat, ice, and electrical stimulation, PT helps decrease pain without relying on painkillers or surgery. Weak muscles and poor biomechanics can contribute to injuries. PT targets these issues, improving strength and stability to prevent further damage. Instead of just treating symptoms, PT identifies underlying problems (such as poor posture or muscular imbalances) that, if corrected, can prevent the need for surgery.
¨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¨
Movement is essential for overall health and well-being. It goes beyond structured exercise and simple activities like walking, stretching, and standing all contribute to a healthier lifestyle. Here’s why movement is crucial in daily life:
It benefits physically and healthy with improving the cardiovascular health – Regular movement strengthens the heart and improves circulation.
Boosts muscle and bone strength – Helps maintain muscle mass and bone density, reducing the risk of osteoporosis.
Aids digestion – Physical activity stimulates digestion and prevents constipation.
Enhances flexibility and balance – Reduces the risk of falls and injuries.
Mental and emotional well-being
Reduces stress and anxiety – Movement releases endorphins, improving mood and reducing stress.
Boosts brain function – Improves memory, concentration, and creativity.
Enhances sleep quality – Regular movement helps regulate sleep patterns.
Weight management
Burns calories – Helps maintain a healthy weight by increasing energy expenditure.
Regulates metabolism – Supports efficient energy use in the body.
Prevents health issues
Lowers the risk of chronic diseases – Reduces the chances of developing diabetes, heart disease, and high blood pressure.
Improves immune function – Helps the body fight off infections.
Physical Therapy Now
Franchise opportunity
800-481-4582
There are plenty of myths about physical therapy that keep people from getting the treatment they need. Here are some common ones:
1. You need a doctor’s referral to see a Physical Therapist
Reality: In many states and countries, you can see a physical therapist directly without a doctor’s referral (this is called direct access).
2. Physical Therapy is just for injuries or post-surgery recovery
Reality: Physical Therapy isn’t just for rehab—it can help with chronic pain, injury prevention, balance issues, and even conditions like arthritis or neurological disorders.
3. Physical Therapy is only for athletes
Reality: Physical Therapy is for everyone, from children to seniors. It can help with everyday aches, mobility issues, and even postural problems from desk jobs.
4. Physical Therapy is painful
Reality: The goal of Physical Therapy is to reduce pain, not cause it. Some discomfort might be involved in certain treatments, but therapists work to make sure it’s manageable.
5. You can just do the exercises at home instead of seeing a Physical Therapist
Reality: While home exercises are important, a Physical Therapist provides expert guidance, hands-on treatment, and tailored adjustments that you can’t get from a YouTube video.
Physical Therapy Now
Franchise opportunity
800-481-4582
Marketing your physical therapy franchise requires careful consideration of the target audience, budget, and available resources. It is important to create a strategy that is cost-effective and tailored to the unique needs of your franchise. The first step in marketing your physical therapy now franchise is to identify the target audience. This includes understanding the demographic of those who use physical therapy and those who may be interested in the services offered by the franchise. It is important to research the competition and learn what strategies they are using to reach their target market. Once the target audience is identified, the next step is to create a marketing plan that is tailored to the needs of your franchise.
Finally, it is important to track and measure the results of the marketing efforts. This will help inform future decisions and ensure your franchise is getting the most out of its marketing budget.
