- Phones will be answered between 8 a.m. and 6 p.m., Monday through Friday. After hours, you may leave a message and we will return your call the next business day.
- Appointment times vary by therapist and days of the week. You may be offered an appointment as early as 7:00 a.m. or as late as 5:30 p.m., Monday through Friday.
- During your first visit you can expect the following:
- Arrive at your appointment with your paperwork completed (forms may be printed off the website or may have been mailed to you).
- Bring your doctor's order/prescription for physical therapy (if required by your insurance).
- We will make a copy of your insurance card and your photo I.D.
- You will be seen for the initial evaluation by the physical therapist.
- The therapist will discuss the following:
- Your medical history and your current problems/complaints and how they are impacting your daily activities or your functional limitations.
- Medications, tests and procedures related to your health may also be pertinent to your physical therapy care.
- The therapist will then perform an evaluation which may include some of the following:
- Posture Assessment - The positions of joints relative to ideal and each other will be assessed.
- Range of Motion (ROM) - The therapist will assess the joint(s) to check for the quality of movement and any restrictions.
- Muscle Testing - The therapist may check for strength and the quality of the muscle contraction. Pain and weakness may be noted. Often the muscle strength is graded. This is also part of a neurological screening.
- Neurological Screening - The therapist may check to see how the nerves are communicating with the muscles, sensing touch, pain, vibration, or temperature. Reflexes may be assessed as well.
- Palpation - Touching around the area of the pain/problem is done to check for the presence of tenderness, swelling, soft tissue integrity, tissue temperature, inflammation, etc.
- Special Tests - The therapist may perform special tests to confirm/rule out the presence of additional problems.
The therapist will establish a list of problems you are having, and a plan to treat those problems. This includes how often you should see the therapist, how long you will need therapy, establishing a home program, short-term/long-term goals, and what is expected after discharge from therapy. This plan is created with input from you and your doctor.
Make sure you bring your doctor's order/prescription if required by your insurance, your photo I.D. and your insurance card. If you are covered by Workers' Compensation we should have received authorization for your physical therapy visits ahead of time. If you are covered by auto insurance we will verify the open claim prior to your first appointment. We will still request a copy of your health insurance card at the time of your first appointment, even though we will be billing Work Comp or auto. If you have an attorney or are in litigation, please provide us with that information at the time of your first appointment.
You should wear loose fitting clothing so you can expose the area that we will be evaluating and treating. For example, if you have a knee problem it is best to wear shorts. For a shoulder problem a tank top is a good choice, and for low back problems, wear a loose fitting shirt and pants. We have a changing room and lockers available if you prefer to bring your treatment clothes with you. If you are a runner and are having lower extremity problems, please bring your running shoes.
Treatment sessions typically last 20 to 60 minutes per visit. Your initial appointment may last longer for the therapist to do the evaluation.
You may be referred to physical therapy because of a movement dysfunction due to an injury, surgery or just associated with pain. Your difficulty with moving part(s) of your body (like bending at the low back or difficulty sleeping on your shoulder, etc.) very likely results in limitations with your daily activities (e.g., difficulty getting out of a chair, an inability to play sports, or trouble with walking, etc.). Physical therapists treat these movement dysfunctions and their associated pains and restore your body's ability to move in a normal manner.
The cornerstones of physical therapy are therapeutic exercise and functional training. In addition to "hands-on" care, physical therapists also educate patients to take care of themselves and to perform certain exercises and functional activities on their own. Depending on the particular needs of a patient, physical therapists may also "mobilize" a joint (that is, perform certain types of movements at the end of your range of motion) or massage a muscle to promote proper movement and function. Physical therapists also use methods such as ultrasound (which uses high frequency waves to produce heat), hot packs, and ice. Although other kinds of practitioners will offer some of these treatments as "physical therapy" it's important for you to know that physical therapy can only be provided by licensed physical therapists or trained physical therapist assistants who work only under the direction and supervision of physical therapists.
Studies indicate there were a greater number of treatments (visits per patient were 39% to 45% higher in physician owned clinics) and the cost was greater for those patients that attended a physician owned physical therapy practice (both gross and net revenue per patient were 30% to 40% higher) (1) compared to treatment at a clinic owned by physical therapists.
Another study indicated that licensed and non-licensed therapy providers spent less time with each patient in physician owned clinics (2).
Another older study concluded that "Therapists who had treated patients through direct access (able to see a patient directly without being required to see an M.D. first) were significantly more likely to believe that direct access had benefited them professionally and benefited their patients than were therapists who had not practiced through direct access" (3).
We believe that we can provide you with the highest quality of care available and do it in a cost effective manner. (4) You will work closely with your physical therapist and your case will be managed by the same physical therapist from the beginning to the end of your experience with us. Our physical therapists may also work as a team with a licensed physical therapist assistant.
- Mitchell, J., Scott, E., Physician Ownership of Physical Therapy Services: Effects on Charges, Utilization, Profits, and Service Characteristics. Journal of the American Medical Association, 1992.
- "Joint Venture Among Health Care Providers in Florida". State of Florida Health Care Cost Containment Board, 1991.
- Domholdt, E., Durcholz, A.G., Direct Access Use by Experienced Therapists in States with Direct Access. Physical Therapy, 1992 Aug: 72(8): 569-74.
- Federal Office of the Inspector General May 1, 2006 - This report calls into question billing processes done by non-physical therapist owned practices.
Flare-ups are not uncommon. If you have a flare-up (exacerbation), give us a call. We may suggest you come back to see us, return to your doctor, or simply modify your daily activities or exercise routine.
Minnesota has direct access to physical therapy without a doctor's order (however, some insurance companies require a doctor's order). You may be evaluated and treated for up to 90 days. If you are not making significant improvement the therapist will refer you to your physician or an appropriate health care provider. Minnesota law recognizes medical doctors (MD), doctors of osteopathic medicine (DO), podiatrists (DPM), chiropractors (DC), dentists (DDS), certified advanced nurse practitioners (CANP), nurse midwifes (CNM) and certified physician's assistants (PA-C) licensed in Minnesota as referral sources.
In most cases, health insurance will cover your treatment. Click on our insurance link for a summary of insurances we accept. We will verify your insurance coverage as part of our pre-registration process.
BMS in Upland, California provides billing services for MN Sport & Spine Rehab.
- BMS bills your insurance company, Workers' Comp, auto or you based on Common Procedure Terminology (CPT) codes.
- These codes are transferred to a billing form that is either mailed or electronically communicated to the payer.
- The payer processes this information and makes payments according to an agreed upon fee schedule.
- An Explanation of Benefits (EOB) is generated and sent to the patient and the physical therapy billing office with a check for payment and a balance due by the patient.
- The patient is expected to make the payment on the balance, if any.
- Prompt Pay Policy - For patients who desire to pay in full at the time of service and/or do not have health insurance coverage, we offer a prompt pay discount determined by the length of treatment. If the patient chooses to pay under this policy, we will NOT file a claim with the patient's insurance.
- Requests for Financial Assistance - We will review all requests for financial assistance. Because our contracts with insurance companies require that we make an attempt to collect the balance due on accounts, we must document the circumstances that necessitate the request for financial assistance. We will ask that a "Request for Account Adjustment" form be completed by the patient/guarantor and submitted to our office prior to reviewing the account. We consider this information to be confidential and will follow our privacy guidelines.