Patient Info
Patient info includes our FAQ, paperwork downloads, direct access, rates, and more!
FAQ
Have questions about physical therapy, how to get started, or how billing/insurance works?
Rest assured we are here to help you through every step of the process. The following are answers to frequently asked questions. If you have any other questions please do not hesitate to contact us!
Each patient is ultimately responsible for their success in their rehabilitation program. Your physical therapist cannot do it without you! We can provide you with the tools to recover but we ask that all patients cooperate by following through with their home exercise programs and instructions. Your recovery is greatly dependent upon your compliance with your Physical Therapy program. Please help us to help YOU!
Yes! If you need physical therapy, YOU DO HAVE A CHOICE when selecting your provider. We encourage you to explore all your options, and when you do, we’re confident that you’ll find that KSR Performance PT will exceed your expectations. With over 16 years of experience, 1-on-1, individualized treatment in a motivating and positive environment, we believe that we’re the best choice around for your rehabilitation needs!
Contact us today to see how easy it is to get started!
We successfully treat the vast majority of pain/injuries of the muscles, joints, and nerves throughout the body. Our therapist has over 16 years of experience dealing with everything from headaches and neck pain to bunions and ankle sprains; from knee, hip, and low back pain, ACL reconstructions, rotator cuff surgeries, sports injuries, and more. Chances are that if your pain/limitation is due to a muscle, joint, or nerve, and doesn’t require surgery, we can help!
Dress comfortably in clothes that allow easy access for the therapist to examine your problem areas. (Example: neck or shoulder injury/pain, wear a tank top, knee or hip injury, wear shorts,etc.) For treatments, loose-fitting clothes that are comfortable are optimal. Also please remember to wear shoes that are appropriate for exercise.
No, KSR accepts payment in the form of credit cards, checks, and cash. In the event you do not have insurance, we have a number of options for you to choose from. We offer package plans to fit your needs.
This depends on the insurance you have, but YES, most NON-Medicare patients can send “self-claims” to their insurance company for their treatments at our clinic. You should be able to print claim forms off your insurance company’s website and send it in with the needed receipts and treatment codes that will be provided upon request at our clinic.
The amount of reimbursement or application towards your deductible is completely dependent on your insurance plan. If you call your insurance company to inquire about what you can expect to receive, you should ask about reimbursement for “out-of-network Physical Therapy” expenses sent in via self-claims.
We at KSR Performance PT will call your insurance company prior to your 1st appointment to determine your physical therapy coverage. We will share this information with you, but we cannot guarantee its accuracy, so we encourage you to contact your insurance provider directly to confirm any limitations or out of pocket costs.
We accept Medicare, WEA, BCBS of Wisconsin, United Health Care, Aetna, and Humana. Not in-network with your insurance? Don’t worry we offer competitive fee-for-service (cash-pay) prices. Please refer to “Rates/Insurance” HERE.
New Patient Paperwork
In preparation for your 1st appointment with KSR Performance Physical Therapy please print the patient forms below. Complete at your convenience and remember to bring them to your 1st scheduled visit
1st Appointment Checklist
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Patient Intake Form (Download/Print)
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Medical History Form (Download/Print)
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Consent Form (Download/Print)
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Financial Policy Form (Download/Print)
Also with these forms you should also bring:
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Physical Therapy Prescription (if applicable)
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Insurance Cards (if applicable)
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Any relevant diagnostic reports you may have (i.e. X-ray, MRI, etc.)
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Additionally our “Notice of Policy Practices” is HERE for you to review.
Direct Access
No prescription for Physical Therapy? No problem! Learn more about Direct Access by selecting the button below!
Ask about our high-value Self-Pay Services!
| Traditional | vs. | Cash Pay |
|---|---|---|
| $40 | Co-Pay/Cost Per Visit | $120 |
| 12 | # of Visits | 4 |
| $480 | Total Cost | $480 |
| 180 min. | Time Spent With PT | 240 min. |
| $2.67 | Cost Per Minute | $2.00 |
Total cost decreases to $240 if insurance
reimburses 50% for OON benefits.
Rates/Insurance
Cost is what you pay, Value is what you receive.
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All treatment sessions are one-on-one with a licensed physical therapist.
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We are credentialed w/ Medicare, Blue Cross Blue Shield of Wisconsin, United Health Care, Aetna, Humana & WEA. KSR will call your insurance company prior to your 1st appointment to do a courtesy check of eligibility and benefits. We cannot guarantee it’s accuracy so we encourage you to contact them directly to confirm.
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Why is KSR not credentialed with all you ask???
In many ways, insurance companies dictate or strongly influence the treatment that patients receive at “in-network” clinics, and we refuse to allow that to be the case at KSR Performance PT. The business model necessary for an ALL in-network practice to survive rarely ever allows for the high-level care we insist on giving our patients.
—and what does this mean??
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Due to progressively worsening reimbursement rates and pressure from insurance companies, the therapists at in-network clinics have to see at least 2 patients per hour (usually many more) and they often use technicians and assistants to provide much of the actual patient care. The care often includes modalities like heat packs and ultrasound, and the majority of a patient’s time at the clinic is spent doing repetitive exercises they could do on their own time. Furthermore, these types of clinics tend to require patients to attend 2-3 appointments per week for many weeks.
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All of our patients receive one-on-one care & hands-on treatment from an experienced, licensed physical therapist at every visit.
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Payment is due at the time of service. KSR accepts cash & major credit cards (See Financial Policy for Details). We are also able to accept payments from Flex Spending and Health Savings Accounts.
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The majority of our fee-for-service (cash-pay) sessions are 1-hour sessions, unless the patient chooses 30 min. We at KSR will help you decide what would be most beneficial for your situation.
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KSR not credentialed with your insurance? CLICK HERE for our cash-pay and Astym session rates.
| Traditional | vs. | Cash Pay |
|---|---|---|
| $40 | Co-Pay/Cost Per Visit | $125 |
| 12 | # of Visits | 4 |
| $480 | Total Cost | $500 |
| 180 min. | Time Spent With PT | 240 min. |
| $2.67 | Cost Per Minute | $2.08 |
Total cost decrease s to $250 if insurance
reimburses 50% for OON bennies.
Ask about our high-value Self-Pay Services!
*Note – It is not necessary to print/bring the notice of privacy.