Marketplace Basics - Common Questions

Question 1

What is our Corporate Number?

Answer 1

951-684-2874

Question 2

What is our General Fax Number ?

Answer 2

951-684-2980

Question 3

What is our Inbox/ Referrals email ? What is it for ?

Answer 3

referrals@marketplacewellnesscenter.com

This is where we receive all incoming faxes / Messages from MD office and insurances. You can provide this email to MD offices, Patients and Insurances if they ever want to send something to our office.

Question 4

What is our Alternate Fax Number ?

Answer 4

800-774-2870

Question 5

What does NPI Stand for ?

Answer 5

National Provider Identifier (NPI)

Question 6

Where can you find the Marketplace PT NPI number ?

Answer 6

On the Phone Call Cheat Sheet
NPI:1285190942

Question 7

Where can you find the clinic hours for each location ?

Answer 7

On the Phone Call Cheat Sheet

Question 8

How much do we charge for No Shows and Cancellations without a 24 hour Notice?

Answer 8

$50

Question 9

Are there certain patients we cannot charge the $50 No Show/Short notice fee ?

Answer 9

Yes, there are certain patients we cannot charge. I can find this information on the Phone Call Cheat Sheet

Question 10

Where can you find a list of Insurances that we accept and don’t accept?

Answer 10

On the Phone Call Cheat Sheet under “Accepted and Non Accepted Insurance

Question 11

Does MPT Provide Cupping services?

Answer 11

Yes, we do, but it must be considered to be a part of the patients treatment plan that is created during the evaluation. This is up to the DPT.

Question 12

MPT does not specialize in pediatric care, therefore, we can only see Children who are ____ years of age or older.

Answer 12

8 Years of age.

-If the Child is under 8 years of age we are to redirect to a pediatric specialist.

Question 13

Does MPT Provide Functional Capacity Exams (FCE)?

Answer 13

No

Question 14

Can Marketplace providers request MRIs for our patients?

Answer 14

No, PTs cannot request an MRI on behalf of the patient. The treating therapist can only recommend an MRI if they deem it necessary. This is MPT Protocol/ Policy.

Question 15

Are Doctors of PT able to fill out disability forms for patients?

Answer 15

No, Patients must take any disability documentation to be filled out by their primary Medical Dr.

Question 16

What is the Cash rate or Out of Pocket rate for patients?

Answer 16

$140 for the Evaluation
$100 for each Treat

Question 17

Does MPT treat Lymphedema or Peripheral Edema?

Answer 17

No

Question 18

Does MPT Treat Pelvic Floor Therapy?

Answer 18

No

Question 19

Does MPT treat incontinence?

Answer 19

No

Question 20

Does MPT offer massage Therapy?

Answer 20

No, we only offer Manual Therapy if it is a part of the patient’s Plan Of Care (POC)

Question 21

Where can I find whether or not we treat a Certain Diagnosis?

Answer 21

On the Phone Call Cheat Sheet

Question 22

Do we Treat TMJ?

Answer 22

Yes

Question 23

Do we treat Vertigo?

Answer 23

Yes

Question 24

Does we treat Bells Palsy ?

Answer 24

Yes

Question 25

Does MPT offer aquatic or pool therapy ?

Answer 25

No

Question 26

A Doctors office is calling asking which CPT codes we use to request for Authorization? What are they and what Quantity do they request?

Answer 26

The 4 Codes are…
97163, 97110, 97140, 97014

The Quantity for each Code is…
97163 X 1
97110, 97140, 97014 x Whatever amount the MD is requesting

Question 27

Describe what each CPT code is used to bill for?

Answer 27

97163 - Initial Evaluation

97110 - Therapeutic Exercises

97140 - Electrical Stimulation

97014 - Manual Therapy

Question 28

What are the three Eval Codes you may come across ?

Answer 28

97161, 97162, 97163

Question 29

If there is an urgent inquiry on the phone from a patient /insurance/MD office that requires a quick answer, Whats the best way to get in touch with the correct department ?

Answer 29

Send an Instant Message (CHAT).

Emails are better used for questions that will require follow up and further investigation.

Question 30

What is the difference between a Consultation and an Initial Evaluation ?

Answer 30

• A Consultation is FREE. Its a 10-12min conversation with one of our DPTs to answer any general questions regarding Physical therapy, to see if it would be beneficial for the patient or if our clinic is the best fit.
• An Initial Evaluation is not Free but is billed to the patients insurance or is paid Out of Pocket. This is an Hour appointment where the DPT goes in depth regarding patients problem areas and a plan of care is created for the patient.