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Re: [physical_therapists_in_business] A sincere thank you

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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 1 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 2 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 3 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 4 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 5 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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