I Love Neuro

214: What To Know About Being Non-Participating With Medicare With Tyler Horton, PT, DPT, NCS


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There are a lot of reasons you can go into private practice. Most of which have to do with the desire to provide care in a different way than you've seen in your community. But the way you set up your practice can be as unique as you are. One challenging question most neuro clinicians face when setting up their private practice is what to do about Medicare? As policies with Medicare continue to change, many opt to enroll in Medicare as a non-participating provider. This means you work with Medicare beneficiaries to deliver covered services but you bill differently. As a non-participating provider with Medicare you're able to collect up front from patients, submit your claim to Medicare, and Medicare reimburses the patient for the visit (rather than you since you collected your money up front). There are pros and cons about going this route. In this episode we talk to physical therapist Tyler Horton of Synapse Neuro Rehab about his business model and why he decided to become a non-participating provider with Medicare. Tyler has been running his business this way for a few years and helps other neuro business owners who want to become non-participating with Medicare navigate this path.

Website: https://synapseneurorehab.com/

Instagram: @synapseneurorehab

Facebook: https://www.facebook.com/SynapseNeuroRehab/

[email protected]

Join the free slack group, NeuroBiz Besties: https://forms.gle/32hJLWmsEmEW5Vs47

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I Love NeuroBy Erin Gallardo and Claire McLean

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