Policies

Cancellation and No-Show Policy   

Patients must provide at least 24-hour notice if they need to cancel an appointment. Failure to do so will result in a $50 fee. This fee is charged to the patient- insurance will not cover it. In the event of multiple late cancels or no shows, the plan of care may be limited or terminated at the discretion of the Strength in Motion team.  

 

Patient Payment Policy 

• It is the patient/ guardian’s responsibility to report the most accurate and up to date insurance information to the SIM team. Any changes in insurance policy must be reported to ensure the accurate and timely filing of claims. 

• The patient/ guardian may elect to pay the SIM self-pay rate. The self-pay amount must be paid at the time of service. Failure to do so may result in delayed care.

• By signing our consent forms the patient/ guardian authorizes payment from their insurance company to Strength in Motion Physical & Occupational Therapy.  

• If billing the patient’s insurance company directly, the patient/ guardian is financially responsible for any charges not covered by their insurance policy, regardless of the benefit verification completed by SIM.  

• There must be a monthly payment of some amount from the date of the first invoice to keep the patient’s account in good standing. Charges for dates of service over 6 months old will incur an interest rate of 1.5% monthly until paid.  

• Patients 18 years old or older will assume responsibility for their claims and account balance. Due to HIPAA laws, Strength in Motion will not be able to contact the patient’s parent or guardian after the age of 18 without a separate written consent from the patient.

 

If a patient/ guardian should default on payment of their account and collection agency services are required, all costs of collections up to 45% of the balance, including attorney/court costs will be added to the balance of the account. This authorization shall remain in effect and may be applied to all future services, rendered for the patient or their dependents for up to one (1) year from the date of signing. This authorization may be withdrawn in writing before the 1 year has run, however, the collection provision shall remain in effect as to services already rendered and the Provider may refuse future medical care or services, unless another agreement is signed allowing for collection fees and costs, as set forth above. 

 

HIPAA Policy 

By signing our consent forms, the patient/ guardian authorizes Strength in Motion to release and receive
protected health information to and from authorized physicians and health care facilities as needed for
therapy treatment. More detailed HIPAA information is posted in the lobby, and copies are available at the
front desk. 

 

Strength in Motion uses AI technology to listen to all physical/occupational therapy sessions solely for the
purpose of generating accurate documentation. No personal information will be shared or used beyond
this intended purpose. 

 

Consent For Treatment 

By signing our consent forms, the patient/guardian voluntarily agrees to receive evaluation and treatment
from the licensed therapists at Strength in Motion Physical & Occupational Therapy. The patient/ guardian
must understand and agree that they will participate in their treatment plan and that they may discontinue
treatment at any time by notifying their therapist or the front desk.