About PTPN
PTPN is America's first and largest network of independent rehabilitation providers. Established in 1985, PTPN has built a track record for delivering comprehensive, cost-effective and high quality outpatient rehabilitation services.
PTPN members are experts at helping injured workers get well and back to work, helping patients recover from serious illnesses like stroke, cancer and heart disease, assisting children and adults with chronic diseases that affect their mobility and coordination, and providing services to "Baby Boomers" and seniors seeking to maintain flexibility, physical fitness and an independent lifestyle.
A national network of rehabilitation professionals whose members are in private practice, PTPN works with insurance companies, employers, and physicians throughout the United States. As an industry leader in national contracting, capitation and quality assurance programs, PTPN combines the dedication, commitment and integrity of the private practitioner with the structure, management and systems of a sophisticated provider network.
Today PTPN has more than 1200 offices with over 5000 therapists, and is contracted with hundreds of managed care organizations covering millions of Americans.
The PTPN Difference
PTPN is a different type of rehabilitation network — one that stands above the others in the current market as a national network of independent private practice therapists that payers and patients can rely on for integrity, stability and quality.
PTPN was founded by nationally recognized leaders in the physical therapy profession in the belief that the professional ethics, clinical expertise and personal commitment of the private practitioner deliver the best value and the highest level of service to both patients and payers.
And it works... PTPN therapists were found to produce 62% more clinical value than other therapists by an independent outcomes management company.
PTPN is the only network to:
- Enroll only therapist-owned clinics. Offices that are owned by physicians, corporations, or other health care organizations are not accepted, so there are no conflicts of interest in ownership that can drive up utilization and reduce the quality of patient care.
- Have ongoing, comprehensive quality assurance, case management, and utilization management programs that regularly audit providers, measure patient satisfaction, and monitor utilization to make sure that treatment matches the needs of the patient and is producing the desired outcome.
- Uphold the highest quality standards in the rehabilitation industry. PTPN members must meet credentialing requirements that exceed those of other networks and state licensing requirements, and surpass those that the National Committee for Quality Assurance (NCQA) requires for physicians in managed care plans.
Quality Standards
PTPN has the highest quality standards for therapists in the rehabilitation industry. Our members must meet credentialing requirements that exceed those of other networks and state licensing requirements. Our credentialing standards surpass those required by the National Committee for Quality Assurance (NCQA) for physicians in managed care plans.
- PTPN members must have all relevant licenses, Medicare certification and must meet continuing education requirements to stay current in their profession, whether or not state licensure requires such ongoing education.
- Therapist performance is reviewed regularly to ensure that each continues to conform to PTPN’s strict membership criteria. PTPN member offices are surveyed on-site to guarantee that professional standards for use of equipment, safety, efficiency, quality, and staff courtesy are in compliance with guidelines. All offices are revisited and re-credentialed at least once every 2.5 years.
- PTPN wrote the standards for quality —and set the benchmarks—for others in the rehabilitation community. In addition to creating standards for practice, PTPN created documentation standards that were later used as a model for the American Physical Therapy Association’s documentation criteria. These documentation and treatment standards are continually being updated to keep pace with the changing health care environment through PTPN’s peer review and quality assurance process.
- Our executives are actively involved in professional organizations and societies, in which they have participated in policy-making decisions on quality standards for private practitioners.
- PTPN's credentialing program has passed every on-site audit by health care organizations with compliance scores in the high 90’s (out of 100).
- PTPN surpasses community standards and state regulations in its enforcement of strict ratios of clinical support staff to therapists: no more than a 2:1 ratio of aides and assistants to licensed therapists for patient-related tasks. This means that utilization will not be increased by having patients treated by an aide when a licensed therapist should treat them.
- PTPN also places limitations on how many patients per hour may be seen by treatment teams (therapists alone or in combination with support personnel), further upholding measures of quality for which there are no state mandates.
PTPN Core Benefits
- Access
- Focus on skilled treatment
- Aggressive manual therapy and exercise programs
- Outcomes program development
- Utilization controls and cost effective management
- Administration through third party administrator if needed
For more information, visit PTPN Online
Local, Regional and National Contracts through PTPN
| Acordia National, Inc. Admar Corporation Advocare Aetna AIG Allied Benefit Systems, Inc. American Community Mutual Ins. Co. American Ins. Co. of Texas American Maritime Officers Medical Plan American Medical Security, Inc. America's Health Plan AmeriHealth Administrators Annuity Board of the Southern Baptist Convention ASI Flex PPO AssureCare Claims and Administrative, Co. Bankers Life & Casualty Co. Bankers United Life Assurance Co. BCE Emergis Beajileu Group, LLC Benefit Plan Management, Inc. Benefit Planners LTD, LLP Benesight Blue Cross / Blue Shield C.C.N. C.N.A. Health Partners Choice One Cigna Comp Plus Continental Assurance Co. Continuous Care Corvel Definity Health Corporation Discount Tree Eos First Allamerica Financial Life First Health Focus Healthcare |
Fortified Provider Network Fortis, Inc. Foundation Health Medical Resource Fremont Comprehension Galaxy Health Network GE Financial Assurance General American Life Insurance Great West Health Care Greater Illinois Select Care Guardian Guardian Life Ins. Co. of America H.H.C. Group H.H.C., Inc. Health Allies Health Dynamics Health Management Network Health Risk Management Health First TPA Fortified Provider Network Fortis, Inc. Foundation Health Medical Resource Fremont Comprehension Galaxy Health Network GE Financial Insurance General American Life Insurance Great West Health Care Greater Illinois Select Care Guardian Guardian Life Ins. Co. of America H.H.C. Group H.H.C., Inc. Health Allies Health Dynamics Health Management Network |
Health Risk Management Health First TPA HHS, Inc. HIH America IBA Life & Health Integra Group Intra Group Jefferson-Pilot Life Insurance Managed Care Systems M-Care Multiplan Nat'l Assoc of Preferred Providers National Choice Care National Hospital Network New England Life Insurance NP PN One Health Plan Pacific Life & Annuity Co. Phoenix Home Life Mutual Preferred One Adm. Services Premier Access PPO ProAmerica Prone Preferred Provider Organization of Midwest Recovery Unlimited Reinalt-Thomas Corporation The Capella Group The Chandler Group The Reny Company Three Rivers Provider Net Trustmark Insurance Co. United Health Care United Payors & United Providers UP & UP USA Healthnet ...and more |