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I write my story about healthcare as a physical therapist, who retired after
32 years in large institutions and private office. Healthcare is a subject close to my heart. My story is long and I ask for your patience to hear my voice.
I am a graduate of the University of California Medical School. I started my practice first as a staff therapist in a large county hospital, followed by private hospitals and clinics, ending in private solo practice where I provided specialized physical therapy services primarily focusing on pain and stress management and education.
All was going well until one day an insurance company refused to reimburse me for services rendered unless I complied with its billing requirements, more specifically, “price per code” billing. I had no idea what that meant. What code and what price? Who assigned codes and prices to procedures and modalities, when I had been using to treat patients for years? I had been charging simply per hour of my time, which started as $60 per hour in the 1970s and ended as $80 per hour in the 1990s.
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