Therapy Policies
Insurance Policy
Tilton's Therapy for Tots/Tilton's Therapy Inc and/or its billing service is authorized to bill the patient's insurance for any/all services rendered. The insurance company is authorized to send payments directly to Tilton's Therapy for Tots/Tilton's Therapy Inc. The patient, parent, or legal guardian acknowledges responsibility for any co-payments and/or deductibles not covered by insurance. If, for any reason, a collection agency is required to collect outstanding funds, the patient, parent, or legal guardian agrees to be responsible for all collection fees. Tilton's Therapy for Tots/Tilton's Therapy Inc is also authorized to release necessary information to the patient’s insurance provider for claims processing.
The patient, parent, or legal guardian must notify Tilton's Therapy for Tots/Tilton's Therapy Inc immediately if there are changes to the patient's insurance and/or policy number for any reason (including but not limited to adoption or employment change). If insurance changes, therapy services may be placed on hold until the new insurance coverage and benefits can be verified.
A patient can receive multiple types of therapy at the same time—such as occupational, physical, and speech therapy—but can only have one therapist per type of therapy. If the patient starts seeing another therapist for the same type of therapy that they're already receiving through Tilton's Therapy for Tots/Tilton's Therapy Inc, then it is considered misuse of insurance. This rule applies to private insurance, Medicaid and Medicare. If the patient's insurance doesn't pay claims because the patient saw more than one therapist for the same service, the patient, parent, or legal guardian will be responsible for paying the full amount.
If the patient has a private insurance that we are not an in-network provider for, Medicaid as a secondary insurance will not cover services. It is important that the patient, parent, or legal guardian understand they will be held responsible for dates of service not covered by Medicaid. If a letter from the patient’s primary insurance states that the service is not covered, Tilton's Therapy for Tots/Tilton's Therapy Inc may be able to obtain a coverage determination from Medicaid in advance.
Cancellation Policy
Tilton's Therapy for Tots/Tilton's Therapy Inc is committed to providing high-quality therapy services to help patients achieve their goals. When appointments are canceled without sufficient notice, it prevents other patients from receiving care. If an appointment must be canceled, the therapist should be contacted via call or text at least 24 hours in advance.
Cancellations made within two hours of the scheduled appointment time will be considered no-shows. If there are three no-shows within a 30-day period, or two consecutive no-shows, a therapy hold or discharge from services may be initiated. This cancellation policy is subject to the discretion of the treating therapist.
Communication Attempts Policy
Tilton's Therapy for Tots/Tilton's Therapy Inc is committed to providing high-quality therapy services in a timely manner, to the best of our ability. If three contact attempts are made (for scheduling evaluation or treatment, verifying insurance, etc.) within a 7-day period without receiving a response, then the patient will be archived, and the available appointment slot will be offered to another patient in need of services.
Therapy Hold Policy
Tilton's Therapy for Tots/Tilton's Therapy Inc recognizes that unexpected situations may arise and strives to support patients and their families during such times. The Hold Policy permits a temporary pause in therapy services for up to two weeks in special circumstances (such as hospitalization, relocation, or a change in placement).
After the two-week period, it is the responsibility of the patient, parent, or legal guardian to contact Tilton's Therapy for Tots/Tilton's Therapy Inc to reinstate therapy services. While efforts will be made to minimize wait times, we cannot guarantee immediate availability, as the therapist may have already been assigned to another patient.
Interpreter Services Policy
If an interpreter is needed, an additional person may join the session—either in person or by phone—to assist with communication. Some insurance companies may also provide interpreter services, so please check with the patient's plan. By acknowledging below, consent is given for the use of an interpreter, and it is understood that this complies with HIPAA guidelines during services provided by Tilton's Therapy for Tots/Tilton's Therapy Inc.
If an interpreter is unavailable, a translation device or family member may be used to assist. While every effort is made to ensure effective communication, any interpretation or translation may not be exact.
Enrichment Classes Disclaimer
Tilton's Therapy for Tots/Tilton's Therapy Inc offers optional non-medical enrichment programs. By acknowledging below, it is understood that if the patient chooses to participate in these programs, insurance will not cover the cost and the full payment will be the responsibility of the patient, parent, or legal guardian.