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  • brian richman
    I would like to thank you so much for forwarding my questions to so many others with experience. With the kind help you are providing me, I can t lose. Am
    Message 1 of 8 , Feb 20, 2001
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      <P>I would like to thank you so much for forwarding my
      questions to so many others with experience. With the
      kind help you are providing me, I can't lose. Am
      looking forward to�the responses and have been
      doing a lot of investigating myself. It seems
      that�a medicare # is a requirement to get on
      PTPN, and I am trying to find the specfic requirements
      a clinic needs to meet for a #. I am worried because
      the space I will be renting is in a fitness facility
      but is only big enough for about two
      tables(10X10sq.ft.)were I plan to do my hands on and
      modality work, then use the fitness facility for the
      ther ex. My question to those that might know... Do
      clinics of this size with one practioner normally get
      accepted into Medicare? I quess the age old question
      still applies... Does size matter? Thanks again for
      you interest and effort.</P>
      <P>Brian<BR></P>
      <DIV><FONT face=Arial size=2></FONT>�</DIV><BR>
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    • Kerry Fitz
      I am curious why you would be appling for a medicare number for your facility, and not just an individual number.  To my knowledge, you can apply for
      Message 2 of 8 , Feb 21, 2001
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        <P> I am curious why you would be appling for a
        medicare number for your facility, and not just an
        individual number.  To my knowledge, you can
        apply for a part B number like a physican as long as
        you have an office.  I think... and I could be
        wrong (it has happened once or twice) getting a part B
        number is far easier than getting an A (even though
        when u get an A it bills B). The other difference also
        is that part B numbers are capped at $900. 
        However, I hear and correct me if anyone knows for
        sure, you have an easier time getting reimbursed under
        B</P>
        <P>As far as PTPN, it is very expensive, and I dont
        recommed it to a small clinic, we investigated it, and
        there are other insurance networks far cheaper. Their
        used to be a list of them in an online artice on
        Advance, as well as an artice (also advance but in the
        mag, bout 1999) about how helpful it was to
        therapists to be in these networks.  I live in a
        small rural area, and financially it didnt make sence,
        due to most of the insurances no-one carried. 
        The bulk of our business is Medicare, however whenever
        we do get private (jackpot) we do get reimbursed, only
        a few times did it happen that they wouldnt pay
        because we werent a provider.</P>
        <P>So what you do is call and verify insurance. 
        If they dont take you then ask for an application,
        process takes 3-6 months, but it does help to have the
        medicare number.</P>
        <P>Good luck, If I can find the copy of the provider
        networks, Ill fax it to you. Kerry<BR></P>
        <P>  <B><I>brian richman
        <gymnst37@...></I></B> wrote: <BR>
        <BLOCKQUOTE style="BORDER-LEFT: #1010ff 2px solid;
        MARGIN-LEFT: 5px; PADDING-LEFT:
        5px"><BR><BR><BR><BR><BR>
        <P>I would like to thank you so much for forwarding
        my<BR>questions to so many others with experience.
        With the<BR>kind help you are providing me, I can't
        lose. Am<BR>looking forward to the responses and
        have been<BR>doing a lot of investigating myself. It
        seems<BR>that a medicare # is a requirement to
        get on<BR>PTPN, and I am trying to find the specfic
        requirements<BR>a clinic needs to meet for a #. I am
        worried because<BR>the space I will be renting is in a
        fitness facility<BR>but is only big enough for about
        two<BR>tables(10X10sq.ft.)were I plan to do my hands
        on and<BR>modality work, then use the fitness facility
        for the<BR>ther ex. My question to those that might
        know... Do<BR>clinics of this size with one practioner
        normally get<BR>accepted into Medicare? I quess the
        age old question<BR>still applies... Does size matter?
        Thanks again for<BR>you interest and
        effort.</P><BR><BR>
        <P>Brian<BR></P><BR><BR>
        <DIV><FONT face=Arial
        size=2></FONT> </DIV><BR><BR><BR>
        <DIV><FONT face=Arial
        size=2></FONT> </DIV><BR><BR><BR>
        <DIV><FONT
        face="Arial<br">size=2>*****************************************************</FONT></DIV><BR><BR><BR>
        <DIV><FONT face=Arial size=2>Add Sports Nutrition
        and<BR>Weight Management to </FONT></DIV><BR><BR><BR>
        <DIV><FONT face=Arial size=2>Your existing
        profit<BR>centers!</FONT></DIV><BR><BR><BR>
        <DIV><FONT face=Arial
        size=2><A<BR>href="http://www.rexall.com/cka/storefront">www.Rexall.com/cka/storefront</A></FONT></DIV><BR><BR><BR>
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      • brian richman
          Kerry Fitz <kfitz2000@yahoo.com> wrote: Dear Kerry, Thank you so much for the time and information. To
        Message 3 of 8 , Feb 22, 2001
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          <P> <BR>
          <P>  <B><I>Kerry Fitz
          <kfitz2000@...></I></B> wrote:</P>
          <P>Dear Kerry, Thank you so much for the time and
          information. To clarify, I do plan on applying fo a
          medicare B #, but from what I was told, you have to
          wait untill after you've opened and started seeing
          patients in order to apply. Is this correct? If so,
          how long does one have to wait? Is applying for a part
          B # different then getting an individual #? I agree,
          PTPN is very expensive, if you know of other networks,
          please fax them to me @ 954 741 3268.  Thanks
          again and am looking forward to recieving your reply.
          </P>
          <P>Good Luck,</P>
          <P>Brian<BR></P>
          <BLOCKQUOTE style="BORDER-LEFT: #1010ff 2px solid;
          MARGIN-LEFT: 5px; PADDING-LEFT: 5px"><TT><P> I
          am curious why you would be appling for a<BR>medicare
          number for your facility, and not just
          an<BR>individual number.&nbsp; To my knowledge,
          you can<BR>apply for a part B number like a physican
          as long as<BR>you have an office.&nbsp; I think...
          and I could be<BR>wrong (it has happened once or
          twice) getting a part B<BR>number is far easier than
          getting an A (even though<BR>when u get an A it bills
          B). The other difference also<BR>is that part B
          numbers are capped at $900.&nbsp;<BR>However, I
          hear and correct me if anyone knows for<BR>sure, you
          have an easier time getting reimbursed
          under<BR>B</P><BR><P>As far as PTPN, it is
          very expensive, and I dont<BR>recommed it to a small
          clinic, we investigated it, and<BR>there are other
          insurance networks far cheaper. Their<BR>used to be a
          list of them in an online artice on<BR>Advance, as
          well as an artice (also advance but in
          the<BR>mag,&nbsp;bout 1999)  about how
          helpful it was to<BR>therapists to be in these
          networks.&nbsp; I live in a<BR>small rural area,
          and financially it didnt make sence,<BR>due to most of
          the insurances no-one carried.&nbsp;<BR>The bulk
          of our business is Medicare, however whenever<BR>we do
          get private (jackpot) we do get reimbursed, only<BR>a
          few times did it happen that they wouldnt
          pay<BR>because we werent a
          provider.</P><BR><P>So what you do is call
          and verify insurance.&nbsp;<BR>If they dont take
          you then ask for an application,<BR>process takes 3-6
          months, but it does help to have the<BR>medicare
          number.</P><BR><P>Good luck, If I can find
          the copy of the provider<BR>networks, Ill fax it to
          you. Kerry<BR></P><BR><P>&nbsp;
          <B><I>brian
          richman<BR>&lt;gymnst37@...&gt;</I></B>
          wrote: <BR><BR><BLOCKQUOTE
          style="BORDER-LEFT: #1010ff 2px solid;<BR>MARGIN-LEFT:
          5px;
          PADDING-LEFT:<BR>5px"><BR><BR><BR><BR><BR><BR><P>I
          would like to thank you so much for
          forwarding<BR>my<BR>questions to so many others
          with experience.<BR>With the<BR>kind help you
          are providing me, I can't<BR>lose. Am<BR>looking
          forward to&nbsp;the responses and<BR>have
          been<BR>doing a lot of investigating myself.
          It<BR>seems<BR>that&nbsp;a medicare # is a
          requirement to<BR>get on<BR>PTPN, and I am
          trying to find the specfic<BR>requirements<BR>a
          clinic needs to meet for a #. I am<BR>worried
          because<BR>the space I will be renting is in
          a<BR>fitness facility<BR>but is only big enough
          for about<BR>two<BR>tables(10X10sq.ft.)were I
          plan to do my hands<BR>on and<BR>modality work,
          then use the fitness facility<BR>for the<BR>ther
          ex. My question to those that might<BR>know...
          Do<BR>clinics of this size with one
          practioner<BR>normally get<BR>accepted into
          Medicare? I quess the<BR>age old
          question<BR>still applies... Does size
          matter?<BR>Thanks again for<BR>you interest
          and<BR>effort.</P><BR><BR><BR><P>Brian<BR></P><BR><BR><BR><DIV><FONT
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          face=Arial size=2>Add Sports
          Nutrition<BR>and<BR>Weight Management to
          </FONT></DIV><BR><BR><BR><BR><DIV><FONT
          face=Arial size=2>Your
          existing<BR>profit<BR>centers!</FONT></DIV><BR><BR><BR><BR><DIV><FONT
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        • Debbie Leiter
          I am located in Miami, Florida and set up a small clinic 5 months ago inside a local gym. I essentially operate as a business within a business. The best
          Message 4 of 8 , Feb 23, 2001
          • 0 Attachment
            I am located in Miami, Florida and set up a small clinic 5 months ago inside a
            local gym. I essentially operate as a business within a business. The best
            thing to do is to get an individual medicare number and keep it simple
            especially since you are a small practice. (My clinic has only one treatment
            table). The medicare packet is not complicated, but you do need to have a few
            things in place. One of the most important things you need is an occupational
            license. In order to get one, you must have a certificate of occupancy. In
            addition, it is important to know that medicare will not allow your business to
            be located out of your home. I have been exploring possibilites and following
            all of this stuff for about 6 months now. It is one of the reasons I started
            my clinic. Next, there is no cap at the moment, at least in Florida. Medicare
            does have a different fee schedule for differnet states. I have recently
            compared Florida's fees with a friend of mine who is starting a business in
            North Carolina. I will receive more for the same services than he will, but
            the differences are not severe. It is also my understanding that the cap was
            repealed last year. I believe it will be up for discussion and a vote sometime
            next year. I am not certain, but I would contact the APTA for an amswer. The
            had a lot to do with the lobby to get the cap repealed. In Florida, it was
            $1500, not $900, as others have written. I hope you find this information
            helpful. Good luck. Debbie Leiter, PT


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          • Kerry Fitz
            To clarify, if you have an Medicare A number, the cap was $1500, which has been lifted for the next year or 2 until they can figure out what to do with it. If
            Message 5 of 8 , Feb 24, 2001
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              To clarify, if you have an Medicare A number, the cap was $1500, which has been lifted for the next year or 2 until they can figure out what to do with it.  If you have a Med B number, you do have a cap of $900, but have an easier time with reimbursement.  They may have changed this recently, but I have not heard anything about it, and the therapists that I do know with a B numbers claim it still exists. I could be wrong, I have an A number, Ill do some more investigating...

              Out of curiosity, did you need to get your building surveyed when appling 4 and individual number, and how long did it take for you to get it??? Thanks Kerry

                Debbie Leiter <debtraveller@...> wrote:

              I am located in Miami, Florida and set up a small clinic 5 months ago inside a
              local gym.  I essentially operate as a business within a business.  The best
              thing to do is to get an individual medicare number and keep it simple
              especially since you are a small practice.  (My clinic has only one treatment
              table).  The medicare packet is not complicated, but you do need to have a few
              things in place.  One of the most important things you need is an occupational
              license.  In order to get one, you must have a certificate of occupancy.  In
              addition, it is important to know that medicare will not allow your business to
              be located out of your home.  I have been exploring possibilites and following
              all of this stuff for about 6 months now.  It is one of the reasons I started
              my clinic.  Next, there is no cap at the moment, at least in Florida.  Medicare
              does have a different fee schedule for differnet states.  I have recently
              compared Florida's fees with a friend of mine who is starting a business in
              North Carolina.  I will receive more for the same services than he will, but
              the differences are not severe.  It is also my understanding that the cap was
              repealed last year.  I believe it will be up for discussion and a vote sometime
              next year.  I am not certain, but I would contact the APTA for an amswer.  The
              had a lot to do with the lobby to get the cap repealed.  In Florida, it was
              $1500, not $900, as others have written.  I hope you find this information
              helpful.  Good luck.  Debbie Leiter, PT


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            • brian richman
              Debbie Leiter wrote: Debbie, Wow, it amazes me how helpful you and this web site is becoming. Thanks for the reply. It sounds like you
              Message 6 of 8 , Feb 25, 2001
              • 0 Attachment


                  Debbie Leiter <debtraveller@...> wrote:

                Debbie,

                Wow, it amazes me how helpful you and this web site is becoming. Thanks for the reply. It sounds like you are doing exactly what I'm trying to do. How big is your facility? I will just have a small room, possibly big enough for two treatment tables seperated by a curtain.(10X10 sq.ft)But theres a fitness trainer that has 650 sq.ft.in the gym with all of his own exercise equipment that I'll be utilizing for the ther ex. I heard that Medicare does site inspections, do you have any info on the requirements that they look for? What about the other things Medicare requires,Policies&procedures manual, etc...? How are doing with getting on insurance plans? Are you accepting HMO's and PPO's? Which ones? Did you have a lot of MD referrals or how are you getting most of your patients? So, after five months, how would you do things differently when you were at the same place I am now? Has it all been worth it so far? I know it's a lot of questions so take you time. Thanks again for all your help and look forward to your reply. Good Luck

                Brian

                 

                I am located in Miami, Florida and set up a small clinic 5 months ago inside a
                local gym.  I essentially operate as a business within a business.  The best
                thing to do is to get an individual medicare number and keep it simple
                especially since you are a small practice.  (My clinic has only one treatment
                table).  The medicare packet is not complicated, but you do need to have a few
                things in place.  One of the most important things you need is an occupational
                license.  In order to get one, you must have a certificate of occupancy.  In
                addition, it is important to know that medicare will not allow your business to
                be located out of your home.  I have been exploring possibilites and following
                all of this stuff for about 6 months now.  It is one of the reasons I started
                my clinic.  Next, there is no cap at the moment, at least in Florida.  Medicare
                does have a different fee schedule for differnet states.  I have recently
                compared Florida's fees with a friend of mine who is starting a business in
                North Carolina.  I will receive more for the same services than he will, but
                the differences are not severe.  It is also my understanding that the cap was
                repealed last year.  I believe it will be up for discussion and a vote sometime
                next year.  I am not certain, but I would contact the APTA for an amswer.  The
                had a lot to do with the lobby to get the cap repealed.  In Florida, it was
                $1500, not $900, as others have written.  I hope you find this information
                helpful.  Good luck.  Debbie Leiter, PT


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              • brian richman
                brian richman wrote: Debbie Leiter wrote: Debbie, Wow, it amazes me how helpful you and this web site is
                Message 7 of 8 , Mar 4, 2001
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                    brian richman <gymnst37@...> wrote:




                    Debbie Leiter <debtraveller@...> wrote:


                  Debbie,


                  Wow, it amazes me how helpful you and this web site is becoming. Thanks for the reply. It sounds like you are doing exactly what I'm trying to do. How big is your facility? I will just have a small room, possibly big enough for two treatment tables seperated by a curtain.(10X10 sq.ft)But theres a fitness trainer that has 650 sq.ft.in the gym with all of his own exercise equipment that I'll be utilizing for the ther ex. I heard that Medicare does site inspections, do you have any info on the requirements that they look for? What about the other things Medicare requires,Policies&procedures manual, etc...? How are doing with getting on insurance plans? Are you accepting HMO's and PPO's? Which ones? Did you have a lot of MD referrals or how are you getting most of your patients? So, after five months, how would you do things differently when you were at the same place I am now? Has it all been worth it so far? I know it's a lot of questions so take you time. Thanks again for all your help and look forward to your reply. Good Luck


                  Brian


                   


                  I am located in Miami, Florida and set up a small clinic 5 months ago inside a
                  local gym.  I essentially operate as a business within a business.  The best
                  thing to do is to get an individual medicare number and keep it simple
                  especially since you are a small practice.  (My clinic has only one treatment
                  table).  The medicare packet is not complicated, but you do need to have a few
                  things in place.  One of the most important things you need is an occupational
                  license.  In order to get one, you must have a certificate of occupancy.  In
                  addition, it is important to know that medicare will not allow your business to
                  be located out of your home.  I have been exploring possibilites and following
                  all of this stuff for about 6 months now.  It is one of the reasons I started
                  my clinic.  Next, there is no cap at the moment, at least in Florida.  Medicare
                  does have a different fee schedule for differnet states.  I have recently
                  compared Florida's fees with a friend of mine who is starting a business in
                  North Carolina.  I will receive more for the same services than he will, but
                  the differences are not severe.  It is also my understanding that the cap was
                  repealed last year.  I believe it will be up for discussion and a vote sometime
                  next year.  I am not certain, but I would contact the APTA for an amswer.  The
                  had a lot to do with the lobby to get the cap repealed.  In Florida, it was
                  $1500, not $900, as others have written.  I hope you find this information
                  helpful.  Good luck.  Debbie Leiter, PT


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