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Re: [physical_therapists_in_business] A sincere thank you

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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 1 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>
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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 2 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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      • 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 3 of 8 , Feb 23, 2001
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          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 4 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 5 of 8 , Feb 25, 2001
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                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 6 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


                __________________________________________________
                Do You Yahoo!?
                Get email at your own domain with Yahoo! Mail.
                http://personal.mail.yahoo.com/



                To Post a message, send it to:   physical_therapists_in_business@...
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