To answer your Q’s, I’m at home now, so don’t have those codes at my fingertips, but a treatment in this format usually involves a manual therapy code, manipulation, and an exercise or NMR code. In discussions with Craig Liebenson on this topic, interns and associates can also be tasked to help with baseline and follow up assessments and after they’ve “earned their stripes”, can help with the exercise training. The manual therapy time can also be done by the intern/associate but some offices, like I think Marc Heller’s, are experimenting with having the LMTs manage the Fascial Manipulation. In my office, I do it all myself and spend 30 min with each patient after a 1 hour intake. As to what I can bill for, the answer is all of it. But, the reimbursement depends on the doctor’s contractural agreement with the insurance company. Per the charges, those discussions are not for an open forum due to federal laws on price fixing as I understand it.

Excellent case study. Great work! I am interested in what you are doing.

A few logistical / business questions come up after reading your case study. 1) What diagnosis codes did you use on this particular case? 2) How much time are you spending with a patient and what are you able to bill for? 3) What would you charge a cash patient?

I am just curious as to the viability of this model of practice. Thanks.