Dr. Jake Berman, PT, DPT explains why Medicare is killing your healthcare – why he has an Out of Network clinic from all insurances…
Dr. Berman drives to give you the Maserati experience – give you what you need, no more, no less and to get you better faster.
- (1:39): If you have Medicare and you’re going to Physical Therapy, you just find a clinic in your network and they will cover a certain amount for a certain diagnosis. The PT must justify medical necessity for specific treatments for a diagnosis in order for medicare to pay the PT clinic.
- (2:40): Medicare decides what intervention is medically necessary. If they do not think it is medically necessary, they will not pay for it.
- (4:00): Medicare cares about ADLs, not Pain
- (7:40): Insurance companies follow Medicare’s Lead
- (9:19): Before surgery you have to jump through some hoops like PT, injections, etc.
- (11:00): BPT is out of network because we want to provide the care patients need, not what Medicare is dictating.
- (12:45): BPT will do exactly what you need – no more, no less. We don’t give you what we need to be reimbursed…
- (18:80): In Network PT still has to stay in the treatment plan dictated by insurance companies, despite PT clinic plan for the number of patients they see an hour.
- (20:19): The difference of treatment at in-network clinic versus out of network clinic is like a Kia dealership versus Maserati dealership – the quality of care, personal care, and the experience.
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Dr. Jake Berman
After graduating from the University of Florida, Dr. Jake Berman, PT, DPT sought out mentorship first from Bob Seton in Destin, FL and then from Aaron Robles in Jacksonville, FL. Both of these mentors have 20+ years of experience helping people keep active and mobile so they can enjoy high quality active lifestyles. What Jake found was that back pain was by far the most debilitating pain and the highest factor leading to decreased physical activity later in life.
These experiences are what inspired Jake to specialize in helping people aged 50+ keep active, mobile and pain free despite the aging process. There is nothing more rewarding than being able to alleviate somebody’s back pain so that they can get back to living their best life- especially in Naples! Over the years of helping 100’s of people aged 65-75 become stronger and pain free, one thing for sure has become apparent: “he who rests rots”.
Jake is a firm believer that we become stiff then old, not old then stiff. Seriously, think about it...
Latest posts by Dr. Jake Berman (see all)
- Episode 142: How Your Gut Affects Your Heart Health - April 22, 2024
- Can Posture Cause Shoulder Pain? 4 Ways It Does - April 19, 2024
- Episode 141: The Easiest Way to Maintain a High Quality of Life - April 15, 2024