Terapia Física & Rehabilitación

NYS Sin Culpa insurance authorizes physical therapy on a visit-by-visit or authorization-period basis, with the number of sessions subject to medical necessity review. The MTG provides tratamiento frequency and duration guidelines for specific injury categories, but these are guidelines — not hard limits. When PT beyond the guideline parameters is clinically necessary, MAIC submits supporting documentación to the Sin Culpa carrier to justify continued tratamiento. Our PT team's objective progress documentación is specifically designed to support these medical necessity arguments.

Passive physical therapy involves tratamientos applied to the paciente without their active participation — modalities like heat, ice, electrical stimulation, ultrasound, and manual therapy. Active physical therapy involves exercises and activities that the paciente performs, building strength, flexibility, and function. NYS Sin Culpa and WCB MTG guidelines increasingly emphasize active over passive interventions, as active therapy produces more durable functional improvements. MAIC's PT program is designed around active rehabilitation with measurable resultados, supplemented by passive modalities when appropriate.

MAIC's PT documentación supports the claim in several ways: the baseline evaluación establishes the functional deficits attributable to the accident; longitudinal ROM and strength measurements create an objective record of the severity and course of injury; functional resultado scores quantify the impact on daily activities and work tasks; plateau documentación supports the determination of permanent impairment; and the discharge summary provides a narrative of the full recuperación trajectory that directly informs the prognosis and damages assessment.

Yes. Physical therapy at MAIC is fully covered under Nueva York State Sin Culpa insurance for accidente de vehículo motorizado pacientes. We manage all autorización previa, billing, and carrier correspondence. Medical liens are accepted for pacientes without active coverage.

Yes — this integrated coordination is one of MAIC's key advantages as an all-in-one PI medical facility. Pacientes can have their injury evaluación, MRI, especialista consultation, and initiation of physical therapy coordinated at our Bronx campus, often within the same or sequential citas. This eliminates the gaps and delays that occur when care is fragmented across multiple providers, ensures that the PT program is aligned with the treating médico's clinical plan, and keeps the entire medical record in one location for easy abogado access.