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Direct Access In NY state
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Direct Access In NY state - November 9, 2006 1:54:00 AM
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wamaciar
Posts: 9
Joined: October 18, 2006
Status: offline
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Hi Group,
I wanted to pick all of your intelligent brains regarding practice issues in NY under the new direct access to begin in the end of November.
I am in the process of setting up a small gym based private practice in NY state. The opening of my practice has actually coincided quite nicely with NY states achievement of direct access. I have gone back and forth contemplating on whether I wanted to be primarily a cash based practice or to accept insurances. Many of your posts have given me a lot of great information in order to make this decision. I have decided to go the insurance route and have started the whole credentialing nightmare!
I do however anticipate taking a fare share of cash pay patients. My questions…. to make a long story short are geared toward these cash pay patients. I have had many gym members come up to me and ask me when I will be up and running and doing massages. The marketing is definitely in the preliminary phases so I had to redirect them and let them know I will not be doing massages as I am a physical therapist and will be practicing physical therapy. It amazes me that people these days still think of physical therapists as massage therapists and many can’t understand why as a physical therapist I cannot just give them a massage. I let this member know that I as a PT I perform manual therapy techniques based on diagnoses. I think many of the gym members would pay out of pocket for manual therapy services (STM, MFR, trigger point release). Under direct access in NYS
1) Is it in my scope of practice to see these members (cash pay) for “massage” or what I would consider manual therapy, STM, MFR, TP release?
2) Can I only see them for 1 month before having to refer them to an MD for a script?
(I would obviously evaluate, document, and review medical history)
I also see this happening regarding “personal training” of clients. I plan on working closely with the personal trainers in the gym and will not “step on their toes” but I anticipate many gym members would pay out of pocket for my services and exercise expertise.
My quick post turned out a little lengthy…. I would appreciate any feedback.
Thanks,
Wendy
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Re: Direct Access In NY state - December 7, 2006 6:21:00 AM
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Soleman
Posts: 55
Joined: March 12, 2000
From: USA
Status: offline
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Have you considered simply adding a massage therapist to your staff? Sounds like the demand is there for it.
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Re: Direct Access In NY state - December 7, 2006 6:43:00 AM
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PhysioThis
Posts: 84
Joined: October 23, 2006
From: New York
Status: offline
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Don't hire a massage therapist. It will be a surce of incredible frustration for you. They will come and go, take their clientele with them.
_____________________________
Ed, PT, MTB-XC
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Re: Direct Access In NY state - December 14, 2006 3:52:00 AM
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PT4TOTS
Posts: 11
Joined: June 16, 2006
Status: offline
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Hi,
I know what you mean about credentialing nightmare with the insurance companies. Direct access or not, it will make no difference (yet) to the insurance companies. They still require a script.
Where in NY are you starting??
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Re: Direct Access In NY state - December 14, 2006 5:55:00 AM
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dfjpt
Posts: 238
Joined: April 9, 2006
Status: offline
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Wendy, you could go cash and let the patients/attendees deal with the scripts/insurance. Will save you lots of headaches. It's probably not "massage" your clientèle are thinking of, it's probably more along the lines of manual treatment. You could provide some of that - why not?
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