Below please find a list of questions that we are frequently asked by patients, as well as answers to those question. If you have additional questions, please contact us at Issaquah, Bellevue, Kirkland & Seattle, WA centers.

Questions about MTI Physical Therapy

  • What is Manual Therapy?

    Manual therapy is an advanced level of physical therapy training that includes skilled, specific hands-on techniques to diagnose and treat soft tissues and joint structures. Expected outcomes may include managing pain, increasing range of motion, reducing soft tissue tension, eliminating joint inflammation, increasing joint mobility, improving joint stability, proper recruitment of muscle groups, restoring normal movement patterns, improving general fitness and returning to work/sport. Learn more about Manual Therapy .

  • What does one-to-one care mean?

    Pioneering the 1:1 model of care, all MTI clinics schedule one-hour patient visits entirely with a physical therapist. We have elected to avoid the industry standard of scheduling 2 or more patients per hour with unlicensed staff, or physical therapy assistants, participating in patient care. MTI only provides physical therapy services solely with physical therapists, not with assistants, aides, trainers or any other unlicensed staff. Learn more about one-to-one care page .

  • What is the clinical teaching arm of MTI all about?

    MTI PT was founded with the mission to create clinical teaching centers for advanced 1-3 year post-graduate training programs in orthopedics, sports and manual therapy. MTI PT is affiliated with The Ola Grimsby Institute (OGI) for our post-graduate seminars and programs. The OGI is one of the largest post-graduate institutes for seminars and advanced degrees in orthopaedic physical therapy in the world. MTI PT is proud to employ OGI instructors, including all three owners of MTI PT. These instructors regularly teach seminars, residency and fellowship programs within the MTI PT clinical locations, as well as in different cities throughout the United States, Europe, Scandinavia and Asia. Learn more about the clinical teaching arm of MTI .

  • What do the physical therapist’s credentials mean (ie. DPT, FAAOMPT)?

    At MTI, we employ only licensed physical therapist to deliver care (no assistants, aides or trainers). Our skilled Physical Therapists are highly motivated to continue to learn and evolve as clinical specialists. Going beyond just weekend seminars in training, our staff continues to seek professional advancement through advanced clinical training, earning the credentials you see after their names. View a full list of credentials .

  • What is the difference between manual therapy and physical therapy?

    Manual therapy is a specialty within the field of physical therapy. Traditional physical therapy focuses more on managing and treating the symptoms of the disease process, while manual therapy focuses more on performing biomechanical, tissue-based examination to identify the cause of the disease process. In treating the cause, along with the symptoms, the outcome has higher expectations.

  • Do you offer massage therapy?

    While our Physical Therapists do not offer massage therapy services, we do have other providers in our Therapeutic Center , which is located on the 2nd floor of our Bellevue clinic, who offer various other services including Massage Therapy, Craniosacral Therapy and Somatic Experiencing.

  • Do you do ultrasound?

    Yes, we do provide ultrasound services. However, we do need to know in advance to make sure we have the equipment available at the time of your appointment.

  • Billing Questions

    • Do I need a referral for physical therapy?

      In general, it is best to have a referral or a prescription for physical therapy. This information allows your Physician to let your Therapist know your needs, which will your Therapist to provide you with the highest level of individualized care. Additionally, your insurance company may require you to have a prescription or referral to receive treatment. We suggest that you contact your insurance company to find out whether they require a referral or prescription in order to cover Physical Therapy services.

    • What is PIP:

      PIP stands for Personal Injury Protection. It is a benefit (provided by your auto insurance company), which you will use to cover medical expenses after an automobile accident. Please check with your auto insurance company to see if you have PIP coverage.

    • What is L&I?

      L&I stands for Labor and Industries. If you are injured on the job, L&I is the state funded medical coverage which you will utilize to cover your medical care while being treated. Be sure to contact your employer to fully understand the requirements of Labor and Industries.

    • What is a copay?

      A copay is a per visit fee assessed to the patient by the insurance company at each visit. The patient should pay this fee to the provider at the time of each visit.

    • What is a deductible?

      A deductible is the yearly dollar amount due from the patient to the provider. This amount is processed by the insurance company, but is not paid. The patient is responsible for issuing payment to the provider.

    • What is coinsurance?

      Coinsurance is the percentage of a visit not paid for by insurance. That is the amount that the patient owes the provider.

    • What is secondary billing?

      Patients often have more than one insurance. Secondary billing is any billing to another insurance company after the primary insurance has paid. MTI will bill your “secondary” once. After that, patients are expected to follow up on any unpaid balance with their secondary insurance company.

    • What are liens or settlements:

      Liens and settlements are part of the auto accident process. However, MTI does not accept liens or settlements at this time. MTI will not wait for payment while your attorney negotiates a settlement.

    • What are benefit limits?

      Every insurance plan has limitations on how many services, what type of service a patient can receive under their insurance benefits, or the length of time services may be provided. Patients should contact their insurance companies to determine what limits are in place regarding Physical Therapy. Patients are responsible for any balance if benefit limits are exceeded.

    • Do you have to bill my insurance?

      Patient’s may choose to not have claims billed to their insurance company. However, the Patient would then be required to remit payment in FULL at the time of service.

    • Why can’t you bill my 3rd party auto insurance? How is 3rd party defined?

      MTI has a policy of not billing an insurance with which the patient has no contractual agreement. Simply put, because the 3rd party policy is not owned by the patient and MTI is not contracted with Auto / PIP carriers, MTI will not send claims to those carriers. MTI is happy to provide Patients with the necessary documents as needed.

    • Do you offer a discount if I don’t have insurance?

      If you are paying in cash and have no insurance, a discount may be arranged. This discount is in consideration of not having to incur some of the administrative costs of billing insurance.

    • I am waiting on a settlement — can I pay you then?

      MTI does not await payment. Patients are asked that they pay for services up front.

    • Why does my last payment not reflect on the current billing statement?

      We recently changed our statements — ALL Patient statements show the last payment made on their statements now.

    • I never got an Explanation of Benefits (EOB) from my insurance – can you send me one?

      No. Please contact your insurance company or go online to your insurance company’s website where you can request or review your EOBs.

    • What’s my best option if you are out of network with my insurance?

      Your best option is to contact your insurance company to see if you have out-of-network benefits. Once you do, you can contact one of MTI’s clinics to discuss your options. If you do not have out-of-network benefits, you will be expected to pay in cash at the time of service.

    • Why do we have a no show / late cancel policy?

      MTI Physical Therapy is a unique business in which patients receive one-to-one care. Due to our business model, it is imperative that patients respect the time dedicated to their care. The No Show / Late Cancel policy is in place to reinforce the need for consistent care in order for a patient’s condition to improve. In order for MTI Physical Therapy to be able to continue to provide one-to-one care, we must collect these fees if a patient doesn’t show up for an appointment or cancels within 24 hours of their appointment time.

    • What if I need to cancel my appointment over the weekend?

      If you need to cancel your appointment over the weekend, you can call the clinic and leave a message explaining why you need to cancel. On Monday, when messages are checked, you will receive a call to confirm that your appointment was cancelled.

    • I cancelled my appointment. Why did I get a reminder call?

      Reminder calls go out two days before your scheduled appointment. If you cancelled your appointment, but still received a reminder call, please call us to confirm that your appointment was in fact cancelled.

    • What happens if my Therapist cancels my appointment at the last minute?

      If your Therapist has to cancel your appointment at the last minute due to an emergency, we will contact you to either reschedule your appointment with your regular Therapist, or schedule you with another Therapist on the same day if one is available.

    • If I have a question about my bill and contact the Billing Department, why am I referred back to my Physical Therapist to get it resolved?

      That’s a great question! Our Billing Department is in charge of working with insurance companies and collecting payments from insurance companies and patients, as well as posting those payments to patient accounts. Like many Physical Therapy practices, our Physical Therapists are responsible for putting in billing codes after they have treated a patient and handling other fees that patients incur, such as needing to purchase equipment to support their treatment as well as fees associated with late cancellations (canceling appointments without 24 hours notice) and patients not showing up for their appointments at all. If you have a question about your bill, please start by contacting the Billing Department. If your question pertains to a fee that you would like to discuss, the Billing Department may refer you back to your Therapist.