Direct Access to PT Less Expensive

This study was conducted to determine whether direct access to services by a PT is cost effective, versus obtaining a referral from an MD.

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Jul 09, 2009 9:30 AM - The results show:

* The total paid claims for physician referral episodes to physical therapists was 123% or 2.2 times higher than the paid claims for Direct Access episodes. When expressed in terms of actual reimbursements, the difference in total paid claims per episode was $1,232.

* Physician referral episodes were 65% longer in duration than Direct Access episodes.

* Physician referral episodes generated 67% more physical therapy claims and 60% more office visits than Direct Access episodes.

Although the study is not new, costs for health care is currently a hot topic. People who attend PT using direct access typically are attempting to be more pro-active with their health and try no to let conditions become as chronic.

If you would like to attend PT without a referral, please call one of our offices to ensure that your situation falls within our legal guidelines [no Medicare or worker's compensation].