1) What is a pelvic floor physical therapist?
As pelvic floor physical therapists, we have specialized training (outside of our 7 years of undergraduate + graduate school) to thoroughly understand the nerves, muscles, connective tissue and function of the pelvic floor muscles, organs (bladder, uterus, rectum) and dysfunctions that accompany them. We can still treat necks, shoulders, knees, backs etc and have been trained to be movement specialists. Advanced training is required to work in pelvic health as it is a speciality area. Dr. Kailie has taken the complete (4 courses) pelvic floor series through Herman and Wallace so she can work with men and women with pelvic floor dysfunction. She has also gone on to complete the entire pediatric pelvic floor courses (level 1 and 2) as well. She has taken an advanced course in the evaluation and treatment of pelvic organ prolapse as well as hypropressives exercise.
With your verbal consent, your pelvic floor physical therapist has the training to perform internal vaginal and rectal exams (these are for adults only)
and treatments in order to thoroughly assess your dysfunction and help you reach your goals. For children, an external visualization of the anal sphincters and perineum is done (with child and parent/guardian consent) as well as biofeedback surface EMG which can give information on pelvic floor muscle tone and coordination which impacts the ability to pee and poop.
2) How often will I need to see you?
Frequency and duration are customized to your goals, schedule and budget. Depending on your condition, one session maybe enough. Typically, 1-3 sessions may be needed for adults and 4-8 sessions for kids but this can be spread out over many months. Package deals are always available.
3) Do you take Medicare or Medicaid?
Her Physical Therapy and Wellness is not a participating provider with any insurance companies. Additionally, Medicare rules state that medicare beneficiaries cannot pay "out of pocket" for covered services such as physical therapy. If Medicare beneficiaries would like to receive a wellness visit, they are allowed to pay "out of pocket" as these services are not covered. Please email or call for more details.
4) Where do your sessions take place?
Sessions take place in Washington and Idaho in your home/gym or in our office in Post Falls, ID.
5) What form of payment do you accept and when is it due?
We take cash, check or cards (debit/credit/HSA). Returned checks will be subject to a $25 fee. Payment is due at time of service.
6) What are out of network benefits and can I get reimbursed for physical therapy?
Each insurance policy is different, please call and ask if your plan has "out of network" benefits for physical therapy. Use the "benefits checklist" (link below) when you call to ensure you ask the right questions.
7) Do I need a referral from my doctor? Can it be from any medical provider?
Washington and Idaho are both direct access states, meaning, you do not need a referral to see a physical therapist. However, if you plan to submit your bill to your insurance, you may be required to have a referral, pre authorization and you may have a maximum number of physical therapy visits per year. Some insurances are very broad when it comes to who your referral comes from, so be sure to ask. It is your responsibility to know your insurance benefits if you want to use them for potential reimbursement.