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To put it simply: no! We all know what a pain it can be to get a referral sometimes. Luckily, Direct Access allows a parent to self-refer to CPTS. We have 60 days from the date of your child's evaluation to see him/her. If treatment extends beyond 60 days, your physical therapist will communicate a plan of care with the pediatrician and get the prescription at that point. Pediatricians are part of your child's team, but if you have a concern about their motor development, you don't have to wait to be seen by them first. Call us at CPTS and add us to your team! It takes a village!
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CPTS is out of network for all insurance companies. CPTS is strictly a cash-based practice. However, CPTS is able to provide a "superbill" for you to submit to your insurance company for any out of network benefits available to you for reimbursement!
A cash-based physical therapy (or other, such as occupational therapy or speech therapy) practice is a model where therapists provide services directly to patients without billing through insurance. In this approach, patients pay the therapist directly for their services, often at the time of the appointment. This model allows therapists greater control over their practice, eliminates the need for insurance paperwork, and can offer more personalized and flexible treatment plans. Patients may choose cash-based therapy for reasons such as faster access to services, more individualized care, and transparency in pricing.
Yes! We know it sounds scary and expensive upfront. But we firmly believe that your time is your money. Let's consider Sarah. Sarah is a mom of 3 children, her youngest has a developmental delay. Sarah and her family live in a rural area where the closest pediatric therapy center is 30 minutes away. She works full-time from home. Sarah's youngest was evaluated by a therapist at an outpatient clinic and they determined he should be seen twice weekly. The only available appointment time was 2:30. Sarah now has to take 2-3 hours off from work, 2x a week, to accommodate this schedule. In addition, she has to pay a $35 co-pay for each visit. On top of that, Sarah now has to coordinate and pay for a babysitter to get her older children off of the bus, resulting in another net cost of $40 per day. That's $75/day, plus using time off she might not have or want to use. All of this was on top of having to wait a month to get the initial evaluation in the first place. At CPTS, we come to you. This means you can continue to work from home, if necessary, or continue your laundry, cooking, or interacting with your other children. In addition, we focus on episodic care, meaning we address the current concerns intensely to meet goals, and then recommend breaks in therapy to allow independent progression.
Cash-based practices can be more cost-effective than using insurance for several reasons: Reduced Administrative Costs, Reduced Parent/Caregiver Scheduling Conflicts, Elimination of Insurance Negotiations, Streamlined Administrative Processes (such as scheduling evaluations or treatments, and billing), No Surprise Costs, Focus on Patient Care, Flexibility in Pricing and Scheduling, and Use of Episodic Care.
While cash-based practices offer these advantages, it's essential to note that they may not be suitable for everyone, and CPTS is committed to the children in our area. If using our cash-based practice isn't an option for you, we would still love to support you and find you a clinic model that works best for your family within the community.
Practitioners in a cash-based practice typically determine pricing based on various factors, including: Time and Expertise, Overhead Costs, Location, Services Offered, Market Research, Value of Services, and Patient Demographics. Overall, practitioners aim to find a balance that covers their costs, reflects the value of their services, and remains competitive within the local market. CPTS is committed to transparent communication about pricing.
In physical therapy, episodic care refers to a treatment approach where therapy sessions are focused on addressing specific episodes, milestones/stages of development, or acure conditions rather than providing ongoing or continuous care. Instead of a prolonged treatment plan, the focus is on managing and resolving a particular issue, concern, or injury. The therapist works with the individual to address the immediate concern, develop a targeted treatment plan, and provide guidance for self-care. Episodic care in physical therapy is often characterized by a shorter duration of treatment compared to more extended and ongoing rehabilitation programs.
Contact us at contact@cptsva.com or call/text Blair directly at 804-557-0664. She will take you through a FREE consultative screening to determine if your child would benefit from an evaluation. That's it. Just reach out! She will do the rest!