We do. The issue is if the insurer accepts us (and will pay for our services).
Each individual insurer (and other third party payers) has their own policies on what they will cover for each insured party. Each individual has co-pay, deductible and other policy requirements that impact what is individually covered for their healthcare.
Our practice faces the following options:
1) Provide healthcare services with no payment from client. Hope that the insurance company/ third-party payer (worker's compensation, other programs) pays us at some time in the future. If they don't pay, go back to client and send payment demand (weeks or months after service).
2) Provide healthcare services and receive payment at time of service from client and provide documentation to client directly (Superbill) that may permit them to be reimbursed from insurance company/ third-party payer at some time in the future.
3) Provide healthcare services and receive payment at time of service from client. Submit insurance documentation directly to insurance company/ third-party payer and see if they reimburse service fees at some time in the future. If they do, we will send that amount to client. We will also then be able to process that client with that insurer directly in the future. For future sessions, that client will not have to pay out-of-pocket at the time of service.
As we continue to grow and add staff, we are planning to increase administrative staff to address medical billing options.
Do I have to have a doctor's referral for treatment?
Not if you are using private pay. Referrals may be required by a third party payer (insurance company, etc.).
why should inclusion therapies be my recreational therapy (RT) healthcare provider?
At Inclusion Therapy, Recreational Therapy (RT) is a therapeutic process with defined outcomes. There is a beginning (Initial Health Assessment, Diagnosis and Treatment Plan), a middle (therapy sessions) and a conclusion (discharge and maintenance check-up). Clients are in control of the process at all times and collaborate with their therapists to ensure their individual optimal treatment outcomes. At the CTRT, we utilize technology in activity interventions, including the Resperate, "approved by the US Food and Drug Administration for reducing stress and lowering blood pressure."
Our Clinical Director, Robert D. Broadhead, earned a graduate degree in the field - Master of Science in Recreation and Leisure Services - Therapeutic Recreation (M.S.R.L.S.) from the College of Education, Department of Health and Human Performance at Texas State University (San Marcos, Texas) "the only therapeutic recreation program in the state." He is nationally certified by the National Council for Therapeutic Recreation Certification as a Certified Therapeutic Recreation Specialist (CTRS) and state certified as a Therapeutic Recreation Specialist/Texas Certified (TRS/TXC) by the Consortium for Therapeutic Recreation/Activities Certification (CTRAC). He previously served as Manager of Resident Programs at Brookdale Senior Living in Lakeway, Texas. All of our staff therapists hold undergraduate and/or graduate degrees in the field and are nationally and/ or state certified professionals. Learn More...
what is the center for therapeutic recreational technology (CTRT)?
Inclusion Therapies utilizes innovative biofeedback technology interventions including the Resperate.