Payers

Outpatient rehabilitation services are a critical component in medical management — returning injured workers to the job, assisting patients to recover their health after illnesses, avoiding hospital readmissions, and reducing the need for additional surgeries. Payers must select rehabilitation providers carefully to obtain maximum value from these services provided to their members. Companies that contract with PTPN add decades of rehabilitation management and professional expertise to their health care networks in a business model that incentivizes appropriate delivery of care. 

For more information on how PTPN benefits payers, click here.

With PTPN, payers get:

• Access to a stable, extensive network of qualified providers skilled in outpatient care delivery.
• Affordable services, with a choice in reimbursement options ranging from negotiated fee-for-service, case rates, and capitation.

• Ease of administration and reduced overhead as PTPN handles contracting, provider credentialing, and quality assurance programs.
• We make it easier to deal with customer service questions and issues because PTPN serves as the liaison to facilitate communication and resolve issues.
• Reduced overhead as PTPN bears the responsibility for credentialing and network administration, saving the payer hundreds of thousands of dollars in expenses and manpower hours.
• Reports that provide meaningful data on utilization, encounters and patient satisfaction.
  
• Analysis of the efficiency of our provider network compared to national data. Click here for more information on how the PTPN Outcomes Program can help you evaluate your rehab provider network.
  

Providers

PTPN maximizes the independent therapist’s profitable participation in health care. Membership in a prestigious rehabilitation network that contracts with most of the managed care organizations in the country exponentially multiplies access to patients, contracts, and revenues. 

For more information on how PTPN benefits providers, click here.

With PTPN, providers get:

• Access to national and local payer contracts. Private practitioners are able to retain a share of the market as they become a part of the national and state contracts negotiated by PTPN — contracts that are not always available to single therapists.
• Geographic exclusivity to protect patient flow from these contracts.
• Substantial value-added benefits include vendor discounts on everything from equipment, supplies, and software, to educational seminars and informational services on compliance and regulatory issues.
• Tools to grow and strengthen their practices, including member newsletters, industry-related updates, assistance with marketing, and Office Manager Association meetings. Not only do PTPN-sponsored meetings keep members informed on such critical issues as HIPAA and Medicare rules, but speakers from Medicare and other organizations are more inclined to talk with practitioners as a group rather than with individual practices.

As a small private practice, it is critical for us to have an ability to accept many insurance carriers, and PTPN is always striving to sign more contracts. I have also continually been impressed with PTPN’s customer service. And I know that PTPN will represent my interests to payers and make sure that we therapists continue to receive reimbursements worthy of the skilled work that we provide.
Brad Walters, MSPT Next Level Physical Therapy Golden, CO PTPN Member Since 2004

• Software to measure patient progress and compare it to national benchmarks, which allows therapists to assess whether the patient is improving with a specific treatment. Click here to learn more about how the PTPN Outcomes Program measures patient progress.
• A voice on issues concerning the financial well-being of the private rehabilitation practitioner through PTPN’s work with the APTA, and through positioning messages in marketing materials and media coverage.

For information on becoming a PTPN member, click here.

Patients

Patients are assured that PTPN therapists are highly qualified, subjected to stringent credentialing and membership standards, and that their performance is continually monitored to maintain efficiency and effectiveness of services provided. 

For more information on how PTPN benefits patients, click here.

With PTPN, patients get:

• Experienced rehabilitation practitioners to help them regain health, reduce or avoid disability, improve productivity and quality of life, and avoid re-hospitalization and potentially expensive and painful surgeries.
• Convenient access to providers near home or work by calling PTPN directly or using our online Find a Therapist service.

• Reassurance — through PTPN's utilization of review and Outcomes programs — that their rehabilitation treatment matches their needs and that treatment is producing the desired outcome. Click here to learn more about how the PTPN Outcomes Program helps our therapists provide more efficient treatment.
• Access to a wide range of outpatient rehabilitation services including physical therapy, occupational therapy, hand therapy, pediatric therapy, and speech/language therapy. Many PTPN providers also specialize in areas such as ergonomic assessment, work hardening, back school, geriatrics, and prenatal care.