Frequently Asked Questions:
1. Do you take insurance?
I am no longer directly billing insurance companies but am happy to provide a SuperBill, as well as supporting clinical documentation for both in-clinic and in-home rehabilitation visits. I am considered an ‘out of network provider’ so you can find out your reimbursement options by following this worksheet.
Additionally, I cannot currently accept Medicare due to excessive documentation demands and poor reimbursement for these types of cases and the level of care that I provide. It is currently illegal to have a Medicare patient self-pay for licensed rehabilitation services even if they wish to do so. This is a legislative issue that has been long standing & is being battled at the political level. If you are covered by Medicare, you can search “Medicare Opt-out Legislation” or “Medicare Patient Empowerment Act” to see if it has passed as part of of S.2812. I will update on social media once any decisive action has taken place.
Sliding Fee Scale cases: at this time I am not accepting these cases but I do once a year and will update on social media when I am accepting applications for those slots.
2. Do I need a referral from my health care provider to see you?
In the state of California, OTs do not need a referral to treat patients. We are not limited by 45 days or 10 visits as are physical therapists under ‘Direct Access’. However, some insurances require the referral to reimburse for the services. To find out about your own insurance’s plan-specific coverage for out of network reimbursement, you would need to follow the insurance worksheet:
If you’re being seen with a focusing on improving your physical fitness, movement assessment & injury prevention (running, cycling, overall health & wellness goals), you do not need a referral as there is not typically any aim for insurance reimbursement & we are not treating a specific diagnosis or condition.
3) I can’t find a time that works for me to be seen.
Please message me and let me know what your ideal timing options are and I will try to see if I can make something fit.
4) If I’m seeing you in my home or at the clinic, can my children be present?
Yes, infants are easy to incorporate into our session and we can pause as needed for nursing etc. It’s better that you’re getting some time to address your needs than to not have any time at all. Please be aware that I do have home visits as an option as well which can reduce your travel time and disruption of naps, etc. It also often helps infants and toddlers relax as they are in a familiar environment and seem to fret less about mom being distracted than in the clinic environment. Toddlers can be more challenging for your own focus, but I’d rather you make it to an appointment or we modify around them than you not have the chance to start to reach your goals. PreSchool and older are generally interested in doing exercises with us which is fine—but you might not want them present for your initial eval due to possibility of an internal examination pending your needs (if being seen fro pelvic health/women’s health).
5) How do you assess what the pelvic floor muscles are doing?
To assess what the pelvic floor muscles are doing, we can use both digital evaluation as well as real-time ultrasound imaging. Pelvic health PTs and OTs use internal digital muscle testing to assess the quality of the contraction of the pelvic floor muscles as well as their tension at rest and movement based testing for assessing if there are any other types of prolapse or scarring that may be impacting your body’s ability to work in a functional range. I will not do an internal pelvic floor assessment without a medical provider consent either prior to the 6 week post-birth check up or during pregnancy without signed provider consent; and it is not always necessary for all pelvic health issues. With the additional of real time ultrasound to my clinical practice, I have the advantage of being able to greater assess without internal testing when indicated. We are also able to start earlier than the 6 weeks post-birth time if you choose to do so and that tool really helps to have a better assessment of what direction you’re going at that point.
6) “My wrist & shoulder have also been bugging me? Can you treat that while you’re seeing me too?”
In general, yes. There are certain areas of rehabilitation (vestibular, cervical spine conditions, etc) that I am not qualified to treat directly & would refer you to another therapist with experience in that area. I have worked in this region since 2005 so I feel thankful to have many wonderful relationships with both other rehabilitation professionals as well as specialties in OB/GYN, Uro-Gynecology, pain medicine, chiropractic and counseling services as a few examples.
7) What do I need to bring to a blocked milk duct appointment?
Please arrive to the appointment knowing that you will need to either feed your baby/babies, or use a pump in between applications of therapeutic ultrasound.
I look forward to building relationships with each of my clients while watching them move more often, & with less pain to meet their goals–whether its to establish & improve daily living skill needs, running a 50K or carrying baby + carseat + diaper bag without pain!