Outpatient rehabilitation services make up a critical component in medical management—helping patients recover from serious illnesses and re-gain mobility that will help avoid unnecessary hospital admissions. Health plans must select outpatient rehabilitation providers carefully in order to obtain the maximum value from these services provided to their members.

Health plans realize significant benefits by contracting with PTPN, the nation’s oldest and largest rehabilitation network consisting only of experienced professionals in private practice.

These benefits include: 

• Access to a national network of experienced, qualified providers who provide affordable services and cost-effective utilization.
• The convenience of dealing with one source that handles customer service, information management, case management, credentialing, quality assurance, and provider relations.

• Contracting with a network that has set the industry standard in every area of rehabilitation contracting. PTPN offers a choice in reimbursement options, such as negotiated fee-for-service, case rates, and capitation, to meet the needs of the individual health plan.
• Informational management systems and reports that offer plans meaningful data on utilization, encounters, and patient satisfaction.
• State-of-the-art software for managing capitated contracts to verify patient eligibility, benefits and co-payments, and to process claims.