Should Dental Providers Discuss Finances With Patients Prior To Treatment PT and Chiropractic Are Not Covered Concurrently

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PT and Chiropractic Are Not Covered Concurrently

Most insurances, including workers comp and no-fault, do not allow patients to be treated for the same condition with both chiropractic and physical therapy at the same time. Sometimes the patient does not mention to the provider that they are already receiving treatment. The provider then sees the patient, submits a claim, but is denied because the patient has already received care.

If you provide physical therapy, or if you are a chiropractor it is important that you ask the patient if they are already receiving or if they have received treatment for this condition, and if so, by whom. Don’t just assume that the patient is telling you.

If the patient informs you that they are currently receiving care, you need to inform them that the services will not be covered. If the patient still wants treatment, you will need him/her to sign a waiver stating that they consent to the treatment, that they understand it will not be covered by insurance, and that they accept financial responsibility for the services. A waiver must be signed each time the patient comes in for treatment.

You don’t want to make the mistake of treating a patient too many times with chiropractic manipulation before discovering that they are also seeing another provider for physical therapy for the same condition. Your claims are denied and it’s too late for the patient to sign a waiver.

The patient may not know it’s important, or maybe they just don’t care. It doesn’t really matter because either way you are out of money for your services. So make sure you cover yourself by asking the patient on their intake form if they are currently being treated or if they have been treated by another provider for a similar condition. Then, depending on how they answer that question, you can ask them about their other treatments. This way you will be sure to get paid for your services.

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