Northern Edge Physical Therapy
Welcome to Northern Edge Physical Therapy!
Northern Edge Physical Therapy is here to HELP those who HURT:
Healing Edge: We recognize the role of healing as the key element in the struggle to survive.
Expert Edge: We provide a unique client-focused experience with clinical expertise and skilled handson therapy as a cornerstone of clinical practice.
Leading Edge: We offer a diverse group of specialized programs to give clients the opportunity to access leading edge pain-relief and enhanced fitness.
Professional Edge: We maintain the highest standards of quality for every aspect of client care.
In order to expedite your registration, please use this checklist to make sure you have provided all necessary information and signatures. Thank you for helping us get your therapy started quickly.
Read the Notice of Privacy Practices
Read the Notice of Financial Policies
Use the "Calling Your Insurance Company" Guide
to verify your physical therapy benefits under your insurance policy
(YOU DO NOT NEED TO CALL MEDICARE, TRICARE, THE VETERAN’S ADMINISTRATION, OR ANY OTHER GOVERNMENT-SPONSORED PLAN)
Click Book Appointment
Please be sure to Bring Your Insurance and ID Card(s) to Your Appointment
NORTHERN EDGE PHYSICAL THERAPY
Registration Paperwork Checklist
Your privacy is of utmost importance to us, and Federal law says that you must be informed of your rights and our responsibilities in protecting the confidentiality of every aspect of your treatment at Northern Edge Physical Therapy. The “Privacy Rule” gives you rights over who can access any of your health information, and how it is shared. The Security Rule gives added protection over electronic health information, such as emails we send and receive, and our electronic medical records system.
TO PROTECT YOUR INFORMATION, WE ARE REQUIRED TO
- Put safeguards in place to protect it.
- Reasonably limit use and disclosures to the minimum necessary to accomplish their intended purpose.
- Have contracts in place with our contractors and others ensuring that we use, disclose, and safeguard your health information properly.
- Have procedures in place to limit who can view and access your health information.
- Implement training programs for employees about how to protect your health information.
UNDER THE PRIVACY RULE, WE MUST COMPLY WITH YOUR RIGHT TO
- Ask to see and get a copy of your records
- Have corrections added to your information
- Receive a notice that tells you how your information may be used and shared
- Decide whether to give permission before your information can be used or shared
- Get a report on when and why your information was shared for certain purposes
- Ask us questions about your rights.
WE ARE ALLOWED TO SHARE YOUR INFORMATION IF IT IS NECESSARY
- For your treatment and care coordination
- To relate details about your physical therapy to medical providers involved in your health care
- With your family, relatives, friends, or others you identify who are involved with your health care or your health care bills, unless you object
- To make sure your medical provider is informed of any recent changes in your health care
- To protect the public’s health
- To make required reports to the police, such as child abuse or suicide attempt
UNLESS YOU GIVE PERMISSION, WE CANNOT
- Give your information to your employer
- Use or share your information for marketing or advertising purposes
- Share details about your care with anyone outside your healthcare team
IF YOU FEEL WE HAVE VIOLATED YOUR RIGHTS UNDER THIS LAW, YOU CAN
- File a complaint with your provider or health insurer
- File a complaint with the U.S. Government
DEPARTMENT OF HEALTH AND HUMAN SERVICES WEBSITE AT:
HEALTH INFORMATION PRIVACY OR CALL 800.368.1019.
NORTHERN EDGE PHYSICAL THERAPY
Notice of Financial Policies
COSTS OF PHYSICAL THERAPY
INSURANCE BILLING, AND YOUR RESPONSIBILITIES
them, limit the amount that can be billed for therapy (the “allowed amount”), and place a limit on what patients must pay. We encourage you to call your insurance company with some questions about your policy (see the document “Calling Your Insurance Company), take notes, and bring the form to your first therapy visit. If your insurance changes, please let us know as soon as possible, to avoid insurance denial of a claim.
AUTO INSURANCE (Third-party) BILLING, Restrictions
CANCELLATIONS AND MISSED APPOINTMENTS
PAYMENT AND BILLING
PLEASE FEEL FREE AT ANY TIME TO ASK FOR CLARIFICATION OF THESE POLICIES,
OR TO DISCUSS ANY FINANCIAL CONCERNS YOU MAY HAVE. Thank you for your time.
NORTHERN EDGE PHYSICAL THERAPY
Calling Your Insurance Company
INSTRUCTIONS: We will call your insurance to verify your benefits as a courtesy to you. It is important and necessary to be informed about your health benefits under your insurance policy, so that you may make informed decisions about purchasing health care services. If you will be using any private, non-government-sponsored health insurance to pay for therapy (including secondary insurers), we ask that you take a few minutes and call the toll-free number on your insurance card.
WHAT TO SAY: “I’d like to ask some questions about my outpatient physical therapy and occupational therapy benefits.” Then ask them the following questions, write down the answers, and bring the completed form with you to your first physical therapy or occupational therapy visit.
1. Do I need to have a prescription from a medical provider for therapy?
2. What is my co-pay / co-ins for a physical therapy or occupational therapy visit?
3. How many visits are allowed?
4. How many visits have I used to date?
5. What is my annual deductible for outpatient physical therapy / occupational therapy?
6. How much of my deductible have I met?
7. When does my “benefit year” start (beginning of the calendar year or not)?
8. Do I need pre certification for Physical Therapy or Occupational Therapy?
9. Do I need pre-authorization? If so, what number do I call? (If this is required,
please call the number before your first visit.)
10. What rules apply to my authorization? For example, do I have to get reauthorized after a certain number of visits, or every year on a certain date?
11. Do I have “out-of-network” benefits for outpatient physical therapy and
occupational therapy services?If so, please summarize them.
Get The Care You Need
Booking an appointment is easy. Either give us a call or click the button below to fill out a new patient form. We look forward to seeing you soon!