Frequently Asked Questions
IPT is made of two distinct practices.
Centerline Physical Therapy - In-Network
Integrated Physical Therapy - Out-of-Network
Centerline PT does accept most major insurances and we will help you with verification and authorization. Please know it is ultimately your responsibility to manage your insurance company and your benefits. Please be aware that your insurance company may only cover a portion of your service. You will be responsible for the difference. Be your own advocate and allow us to help guide you.
Integrated PT is an out of network provider. There is a fee for the service provided. Why? We would not be able to provide the high level of care and individualized treatment that we do at the low rates insurance companies are currently willing to pay for physical therapy treatment. By creating a personalized program that includes skilled manual therapy techniques and corrective exercises that will result in faster recovery time and improved outcomes, you will have a more personal and private experience in this setting.
For physical therapy we will show you how to print claims forms so all you need to do is put it in the mail! You may be able to find out in advance what the details of your insurance plan are if you call your insurance company and ask about your “out of network” benefits.
Centerline PT - In - Network Visits
Depending on your insurance, your cost/co-pay/co-insurance/out of pocket will vary. Please have this conversation with our front desk before you arrive, so there are no surprises. An initial evaluation is one hour of comprehensive evaluation and treatment. This is a full hour of one on one attention from your physical therapist!
Integrated PT - Out-of-Network Visits:
- $200.00 per visit with Craig Cohen
- $175.00 per visit with Tara Carrington
- $150.00 per visit with Luan Menda, Brittany Inerfeld, Christian Drummond,
- $110 – Private Manual Plates Rehabilitation
- $90 – Private Fitness Pilates
- $90/$120 – Massage Therapy
If the issues you’re facing are more complex or you just want more time, we offer 1-2 hour immersions.
On your first visit make sure to bring your insurance card and drivers’ license so we can make a copy of it. Also please bring your prescription for physical therapy if you have one. Florida state law mandates that a prescription from an MD or DO be on file within the first 30 days of treatment. If you want to fill out the paperwork early and bring it with you, it is on our website (click here). Clothing is loose fitting and gym attire is preferred (shorts, t-shirt etc)
Since your appointment time is a whole hour set aside specifically for you, we request that all patients extend a courteous 24-hour cancellation notice to change or cancel any appointment. If less than 24 hours’ notice is given, the full session fee will apply in a discretionary fashion.
North Miami Location - https://www.iptmiami.com/contact/location-map
Hallandale Location - https://www.iptmiami.com/contact/location-map-hallandale
No, not necessarily.
In Florida, it is legal to be evaluated and treated by a physical therapist WITHOUT a prescription for the first 30 days, or 10 visits, whichever comes first. You will need one thereafter though. KEEP IN MIND, YOUR INSURANCE COMPANY MAY REQUIRE YOU TO HAVE ONE PRIOR TO BEGINGN YOUR THERAPY. If submitting for insurance reimbursement on your own, it is wise to have a prescription from the beginning of treatment, since they often request it. After the initial visit, our office will mail/e-mail or fax a typed copy of your evaluation to the doctor whom you specify, and that usually encourages them to write a script saying “Physical Therapy. Evaluate and Treat” or whatever else they choose to write o
Clinical Questions About Myofascial Release (12)
Fascia (also called connective tissue) holds us all together and has been virtually ignored in the past. Fascia is a multidimensional web-like tissue that extends throughout the body. It is composed of two types of fibers:
A) Collagenous fibers, which are very tough and have little stretchability B) Elastic fibers, which are stretchable. Fascia is not muscle, but muscle is comprised of approximately 80% fascia. From the functional point of view, the body fascia may be regarded as a continuous three dimensional web of connective tissue that extends without interruption from the top of the head to the tip of the toes. It surrounds and invades every other tissue and organ of the body, including nerves, vessels, muscle and bone. It has been estimated that fascia has a tensile strength of as much as 2000 pounds per square inch.
John F. Barnes Myofascial Release, (JFB-MFR) is a full body, hands on technique that releases the fascial system. The myofascial release approach is an intensive, generally mild and gentle form of stretching performed by qualified therapists who have been highly trained. These techniques have profound effects upon the body tissues. Because of its gentleness, many individuals wonder how it could possibly work. Because the facial system is interconnected, symptoms may appear in areas of the body one might assume are unrelated to the actual restricted area. Myofascial restrictions do not show up on any of the standard tests (x- rays, CAT scans, MRI’s etc.) so these myofascial restrictions have been ignored or misdiagnosed.
For example; when scars harden in one area following injury, inflammation, disease, surgery, etc. it can put tension on adjacent pain-sensitive structures as well as on structures in far-away areas. Some patients have b pain symptoms that appear to be unrelated to the original or primary complaint. These symptoms can now often be understood in relationship to our understanding the fascial system. Effective MFR treatment involves various techniques that are frequently applied to several different areas of the body. This is, therefore, a whole body approach to evaluation and treatment. The therapist needs to use “skin on skin” contact to provide the friction interface needed to release the fascia effectively. Release of these fascial restrictions includes specific specialized manual techniques of holding the tissue for a minimum 90 –120 seconds allowing for mechanical and biomechanical reaction to begin. Full release of the restriction may take five minutes or longer. Successive releases, through each layer, also require this time element. Our approach is successful because we treat a system in the body that no one else treats, the fascial system. JFB-MFR has been developing and refining MFR over the past 40 years to make this approach the most advanced and effective hands-on care available, particularly for patients who have not responded to traditional medical or surgical interventions Once the fascial system is addressed, these same patients begin to make progress in a matter of weeks with intensive MFR treatments and are on their way to a pain free, active lifestyle.
Through (1) trauma, (2) repetitive motion or (3) poor postures over time (sitting all day), (4) surgery, and scar tissue - restrictions can form in the fascial system. These restrictions can exert force of up to 2000 pounds per square inch on the body’s sensitive tissues and organs. This force can literally crush any of the vital structures that are near it. Since the fascial system runs throughout your entire body, these restrictions can cause pain anywhere in the body and compromise any system. By system I mean, vascular, neurologic, muscular, circulatory, digestive, etc. Fascial restrictions can cause digestive problems, fertility problems, circulation problems, neurological problems, etc. These restrictions can become tighter over time, literally making you feel like you are in a strait jacket and sending symptoms throughout your body.
When the cause of these symptoms, myofascial restriction, is left untreated, these symptoms often progress to the point of some type of chronic pain syndrome. In some patients, blood vessels and nerve roots can become caught which creates entrapment syndromes and ischemic like conditions.
Excessive pressure such as this can explain why some symptoms develop. Conventional treatment methods do not affect the myofascial system and at best produce only temporary symptomatic changes. MFR is a structural approach that treats the cause of the problems not just the symptoms and this is what produces long lasting results.
MFR at Integrated Physical Therapy is not forceful. It is a whole body approach tailored to each individual. The body is allowed to release, not forced to release. This does not mean that the releases will not be painful. Many times during a release pain and/or many other sensations will be felt. This is described as your fascial voice. IPT MFR treatments are minimum one hour with your therapist working with you, one on one, on your body’s restrictions. Some traditional settings feel like a production line, and are not very private. IPT MFR is all encompassing ie.: mind, body and spirit. The fascial system stores memory from physical, mental, and emotional traumas.
In traditional therapy, scheduled time with each patient is dictated by the insurance carriers. Individual treatment is not the norm and it is not uncommon to have three or four patients per hour per therapist and most times you are performing your exercise program independently. Modalities have their purpose but should remain an adjunct to the therapy process to enhance healing, not become the therapy process. In traditional physical therapy settings there is sometimes overuse of modalities like ultrasound and electrical stimulation which have no effect on the cause of the symptoms which is actually ischemic pressure from myofascial restrictions.
IPT myofascial release is a whole body approach to treating the cause of the symptoms not just palliative treating symptoms. MFR has long lasting often permanent effects on the body with self-treatment practice daily. The decrease in pain and increase in movement and flexibility restores your bodies balance and energy leaving you feeling restored and ready to live an active life.
Each person will heal and progress as individuals. Some patients have relief after their first treatment and others do not. This is highly individual based on diagnosis, chronicity of symptoms, motivation to heal, personal belief system of health and healing, and cultural beliefs can all effect outcomes. Rome was not built in one day and it was not destroyed overnight. Similarly chronic health problems will not turn around overnight.
The good news is that with MFR you can get permanent results.
This is what we refer to as a “healing crisis”. It can happen because your awareness has increased and you actually feel how much pain is really there. Most of us have tuned our pain out, and now you are fully feeling it. This increase in signs and symptoms is your body’s way of bringing your awareness into what you are dealing with every day, but you “tune out” and don’t allow yourself to feel. Another reason is that you are getting into the deeper layers of the restrictions. The deeper you go into the restrictions, the closer you get to sensitive areas and as you go into the deeper layers the symptoms intensify and emotions may surface. There will be ups and downs which is normal. The body is not linear. Always remember JFB-MFR is not injurious.
Using self-treatment techniques that your therapist taught you will help you through this process. A regular self-treatment program combined with your therapy session of MFR will help speed your healing process. Spending quiet time bringing awareness into your body will help you get in touch with what lies beneath the layers. Give your body permission to let go of anything that is no longer serving you, and give yourself permission to do and feel whatever you need in order to heal. The post treatment soreness gives the patient and therapist valuable information about where the restrictions are located. So make a note of what you feel and communicate it to your therapist to enhance your treatment experience, speed your results and feel better faster.
No. What you are experiencing is what is referred to as a “healing crisis”. It can happen because your awareness has increased and you actually feel how much pain is really there. Most of us have tuned our pain out, and now you are fully feeling it. This increase in signs and symptoms is your body’s way of bringing your awareness into what you are dealing with every day, but you “tune out” and don’t allow yourself to feel. Another reason is that you are getting into the deeper layers of the restrictions. The deeper you go into the restrictions, the closer you get to sensitive areas and as you go into the deeper layers the symptoms intensify and emotions may surface. There will be ups and downs which is normal. The body is not linear. Always remember JFB-MFR is not injurious.
Using self-treatment techniques that your therapist taught you will help you through this process. A regular self-treatment program combined with your therapy session of MFR will help speed your healing process. Spending quiet time bringing awareness into your body will help you get in touch with what lies beneath the layers. Give your body permission to let go of anything that is no longer serving you, and give yourself permission to do and feel whatever you need in order to heal.
The post treatment soreness gives the patient and therapist valuable information about where the restrictions are located. So make a note of what you feel and communicate it to your therapist to enhance your treatment experience, speed your results and feel better faster.
Understanding Insurance (8)
This is the monthly amount you pay for coverage. The lower it is, the higher your deductible will typically be. Plans with low premiums and high deductibles often are called “catastrophic” plans. Conversely, higher premium plans often feature lower deductibles, copays, and coinsurances.
This is the total amount you must pay each year before your insurance begins to pay. For example, if your deductible is $4,000, then you must pay $4,000 toward deductible-applicable services before your insurance will pay anything. If your deductible applies to PT services, then you may have to pay per visit until you meet your deductible. Once you reach your deductible, your copay or coinsurance will apply.
High copays are another common drawback to low-premium plans. Remember, the copay applies even after you have met your deductible, and the copay for specialist visits—including PT visits—can be as high as $80-$100. So, if you anticipate a lot of office visits during this plan year, you will want to factor the copay into your decision process.
As previously noted in this document, coinsurance is another version of cost-sharing. So, you will likely have to pay either a coinsurance or a copay. However, while copays are fixed amounts—and thus, are more predictable—coinsurances are percentages. Therefore, your financial responsibility varies based on how much your provider charges for the services rendered.
Some insurance plans (e.g., PPOs, HMOs, and EPOs) are limited to a certain network of providers. So, make sure you have a good selection of covered providers and facilities in your area. If you travel frequently or live in a rural area, you may want to choose a plan that has no network restrictions.
If your insurance plan requires you to obtain a referral before seeing a specialist (e.g., a physical therapist), and you fail to do so, the insurance company may (more than likely, will) deny coverage for services rendered. So, if you do not want to go through a primary care provider (e.g., your family physician) each time you want to see a specialist, make sure your plan does not require a referral (a.k.a. prescription) for specialist services.
Some plans place a limit on the number of covered visits per year (e.g., 20 visits), while others allow for unlimited visits. If you are athletic, have chronic joint pain, or anticipate needing a joint replacement in the near future, you may not want any restrictions on the number of rehabilitative visits allowed.
Medicare only pays 80% of the cost of care, so many Medicare beneficiaries seek secondary insurances to pay the other 20%. However, even those plans often feature deductibles, copays, coinsurances, or visit limitations. Thus, we recommend posing all of the above-listed questions to any secondary insurances you are considering.
The Self-Pay Option (1)
Yes! Please contact us and we will go over the details and pricing with you.