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Re: Self-pay Fees after cap limit reached?

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There is a therapy cap resource center on the ATPA website. The resource

center is open to all -not members only and on that site is a model letter

for patients.

Tom Howell, P.T., M.P.T.

Howell Physical Therapy

Eagle, ID

howellpt@...

Self-pay Fees after cap limit reached?

Hello:

Is anyone able to share how much they will charge clients who desire to

continue with necessary therapy once their cap is reached?

It doesn't seem quite 'right' to charge less for self-pay but then who

can afford to pay $115.00/hour. If we charge less for self-pay aren't we

telling Medicare that our services are worth less than what they pay?

Also, is anyone able to share an example of a form letter opposing the

cap that they given to patients to sign?

Thanks,

Ron C.

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Hi,

You can go to apta.org, under Medicare, advocacy or current legislative

actions and will find a number of sample letters addressing the issues, both

from

a PT point of view and from a patient point of view. you can also easily

email your representatives right from the site.

Leyda Mata

Director of Operations

Community Physical Therapists

1530 Palisades Avenue

Fort Lee, NJ 07024

tel:

fax:

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well, one of my staff informed me yesterday that the appeal process was

omitted in late Dec. I don't know any more info than that and am in processing

of

checking if that is correct. I will back with you on that.

Bubba Klostermann OT, CVE, CEAS

CEO, WORK & REHAB

4546 South 14th

Abilene, Texas 79605

pH:

fax:

e-mail: bubklo@...

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Our private pay rate is $30.00/unit, regardless of which CPT code we are

billing.

Thanks,

Barker F. II

Clinical Director

Lakeway Aquatic Therapy & Wellness Center

P.O. Box 342348

1927 Lohmans Crossing, Suite 100

Austin, TX 78734

-Office Tel.

- Office Fax

- Mobile

www.lakewayaquatics.com

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CONFIDENTIAL information and may be read or used only by the intended

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the number listed.

Self-pay Fees after cap limit reached?

Hello:

Is anyone able to share how much they will charge clients who desire to

continue with necessary therapy once their cap is reached?

It doesn't seem quite 'right' to charge less for self-pay but then who

can afford to pay $115.00/hour. If we charge less for self-pay aren't we

telling Medicare that our services are worth less than what they pay?

Also, is anyone able to share an example of a form letter opposing the

cap that they given to patients to sign?

Thanks,

Ron C.

Looking to start and own 100% of your own Practice?

Visit www.InHomeRehab.com.

PTManager encourages participation in your professional association. Join

and participate now!

Please identify yourself in all postings to PTManager.

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