Licensed At Home Care
Licensed At Home Care
Licensed At Home Care
WELCOME
WELCOME
WELCOME
It’s no secret that our healthcare model is a bit broken. Patients often have to wait weeks or months to gain access to providers—long enough for conditions to move from acute to chronic. What’s worse, some folks who need rehabilitation after a fall, and those with neurological or medical conditions, as well as those with mobility limitations, may not be able to make it to a clinic regularly for continue care.
I have offered at home care service in Marin County since 2013 and am confident I can help you and your family members heal and gain strength in the convenience of your own home.
You owe it to yourself and your loved ones to consider at home physical therapy.
It’s no secret that our healthcare model is a bit broken. Patients often have to wait weeks or months to gain access to providers—long enough for conditions to move from acute to chronic. What’s worse, some folks who need rehabilitation after a fall, and those with neurological or medical conditions, as well as those with mobility limitations, may not be able to make it to a clinic regularly for continue care.
I have offered at home care service in Marin County since 2013 and am confident I can help you and your family members heal and gain strength in the convenience of your own home.
You owe it to yourself and your loved ones to consider at home physical therapy.
It’s no secret that our healthcare model is a bit broken. Patients often have to wait weeks or months to gain access to providers—long enough for conditions to move from acute to chronic. What’s worse, some folks who need rehabilitation after a fall, and those with neurological or medical conditions, as well as those with mobility limitations, may not be able to make it to a clinic regularly for continue care.
I have offered at home care service in Marin County since 2013 and am confident I can help you and your family members heal and gain strength in the convenience of your own home.
You owe it to yourself and your loved ones to consider at home physical therapy.
RISKS IN DELAYING PHYSICAL THERAPY
Here are some recent statements from JAMA (Journal of American Medical Association):
RISKS IN DELAYING PHYSICAL THERAPY
Here are some recent statements from JAMA (Journal of American Medical Association):
RISKS IN DELAYING PHYSICAL THERAPY
Here are some recent statements from JAMA (Journal of American Medical Association):
BENEFITS IN CHOOSING At HOME PHYSICAL THERAPY
BENEFITS IN CHOOSING At HOME PHYSICAL THERAPY
BENEFITS IN CHOOSING At HOME PHYSICAL THERAPY
Glenn’s Mission: to help older adults enjoy life on their terms, with the strength, balance, and confidence to keep doing the things they love.
Known for his clear communication, patience, and ability to build trust with both clients and caregivers.
With over a decade of experience helping older adults maintain mobility, safety, and independence, Glenn Miracle brings a unique combination of clinical expertise, problem-solving, and genuine care to every client he serves. A licensed California physical therapist since 2013, Glenn specializes in working with seniors who want to stay active despite medical challenges such as Parkinson’s disease, stroke, arthritis, dementia, and chronic pain.
Glenn’s approach goes far beyond exercise programs — he focuses on understanding each client’s goals, adapting to changing physical and cognitive needs, and preventing setbacks before they happen.
His extensive background in home health and outpatient orthopedics, combined with years of close collaboration with nurses and other healthcare professionals, enables him to identify early signs of medical complications and act quickly to keep clients safe.
In addition to his physical therapy expertise, Glenn has a working knowledge of Ayurveda — a traditional system of health and wellness — which informs his holistic view of patient care.
When appropriate, he integrates principles such as balance, lifestyle rhythms, and individualized wellness considerations into treatment planning, complementing evidence-based rehabilitation with a whole-person perspective.
Known for his clear communication, patience, and ability to build trust with both clients and caregivers.
Glenn’s Mission: to help older adults enjoy life on their terms, with the strength, balance, and confidence to keep doing the things they love.
Glenn’s approach goes far beyond exercise programs — he focuses on understanding each client’s goals, adapting to changing physical and cognitive needs, and preventing setbacks before they happen.
With over a decade of experience helping older adults maintain mobility, safety, and independence, Glenn Miracle brings a unique combination of clinical expertise, problem-solving, and genuine care to every client he serves. A licensed California physical therapist since 2013, Glenn specializes in working with seniors who want to stay active despite medical challenges such as Parkinson’s disease, stroke, arthritis, dementia, and chronic pain.
His extensive background in home health and outpatient orthopedics, combined with years of close collaboration with nurses and other healthcare professionals, enables him to identify early signs of medical complications and act quickly to keep clients safe.
In addition to his physical therapy expertise, Glenn has a working knowledge of Ayurveda — a traditional system of health and wellness — which informs his holistic view of patient care.
When appropriate, he integrates principles such as balance, lifestyle rhythms, and individualized wellness considerations into treatment planning, complementing evidence-based rehabilitation with a whole-person perspective.
Known for his clear communication, patience, and ability to build trust with both clients and caregivers.
Glenn’s Mission: to help older adults enjoy life on their terms, with the strength, balance, and confidence to keep doing the things they love.
With over a decade of experience helping older adults maintain mobility, safety, and independence, Glenn Miracle brings a unique combination of clinical expertise, problem-solving, and genuine care to every client he serves. A licensed California physical therapist since 2013, Glenn specializes in working with seniors who want to stay active despite medical challenges such as Parkinson’s disease, stroke, arthritis, dementia, and chronic pain.
Glenn’s approach goes far beyond exercise programs — he focuses on understanding each client’s goals, adapting to changing physical and cognitive needs, and preventing setbacks before they happen.
His extensive background in home health and outpatient orthopedics, combined with years of close collaboration with nurses and other healthcare professionals, enables him to identify early signs of medical complications and act quickly to keep clients safe.
In addition to his physical therapy expertise, Glenn has a working knowledge of Ayurveda — a traditional system of health and wellness — which informs his holistic view of patient care.
When appropriate, he integrates principles such as balance, lifestyle rhythms, and individualized wellness considerations into treatment planning, complementing evidence-based rehabilitation with a whole-person perspective.
patience + empathy + compassion + strong communication skills + clinical expertise + integrity + humor + professionalism + resourcefulness + patience + empathy + compassion + strong communication skills + clinical expertise + integrity + humor + professionalism + resourcefulness +
Treatment Conditions
PAIN
WEAKNESS
BALANCE
POST-SURGERY
CHRONIC CONDITIONS
Treatment Conditions
PAIN
WEAKNESS
BALANCE
POST-SURGERY
CHRONIC CONDITIONS
Treatment Conditions
PAIN
WEAKNESS
BALANCE
POST-SURGERY
CHRONIC CONDITIONS
FREQUENTLY ASKED QUESTIONS
-
Non-Covered Services:You can privately bill a Medicare beneficiary for services that Medicare does not consider medically necessary or that are excluded from coverage by law, such as general fitness or wellness programs.
-
.
If you believe a service Medicare would normally cover might be denied for medical necessity, you must have the patient sign an ABN before providing the service. This notice informs the patient that they will be financially responsible if Medicare denies the claim, and they must agree to this by signing the form.
-
No Opt-Out for PTs:Unlike some other providers, physical therapists in California cannot “opt-out” of Medicare and enter into a private contract with a patient for covered services.
-
No Private Billing for Covered Services:You are generally not allowed to bill a Medicare patient privately for services that Medicare would typically cover, as this violates Medicare’s mandatory claims submission rules.
-
Mandatory Claims Submission:If you provide a Medicare-covered service to a Medicare beneficiary, you are generally required to submit a claim to Medicare.
-
ABN for Denied Claims:If a claim for a covered service is denied after a patient signs a valid ABN, the non-opt-out provider is then relieved of the limitations on charges that would otherwise apply
Yes. In California, you can see a physical therapist (PT) without a doctor’s visit for up to 12 visits or 45 calendar days, whichever comes first, under the state’s “direct access” law. After this period, you must get a referral from a licensed healthcare provider, such as a physician, who has performed an in-person examination and approved the treatment plan, for you to continue receiving PT services.
-
Limited Direct Access:
California law allows you to initiate physical therapy treatment without a doctor’s referral for a set initial period.
-
Time and Visit Limits:
This initial period is limited to a maximum of 12 visits or 45 days, with the first limit to be reached being the one that applies.
-
Physician Approval Required for Continuation:
If your physical therapy needs to continue beyond this 12-visit or 45-day window, your physical therapist will need a signed plan of care from a physician, podiatrist, or other authorized provider.
-
Written Patient Consent:
You must provide your written and verbal consent to the therapist after receiving notice that you can be treated for up to 12 visits or 45 days.
-
In-Person Examination:For the physician to approve continued treatment after the initial direct access period, they must have conducted an in-person examination and evaluation of you.
Home-based PT might also be covered if it’s determined that you are homebound or have significant difficulty accessing outpatient PT services. Check your insurance policy for specifics about physical therapy coverage, especially home-based services.
FREQUENTLY ASKED QUESTIONS
-
Non-Covered Services:You can privately bill a Medicare beneficiary for services that Medicare does not consider medically necessary or that are excluded from coverage by law, such as general fitness or wellness programs.
-
.
If you believe a service Medicare would normally cover might be denied for medical necessity, you must have the patient sign an ABN before providing the service. This notice informs the patient that they will be financially responsible if Medicare denies the claim, and they must agree to this by signing the form.
-
No Opt-Out for PTs:Unlike some other providers, physical therapists in California cannot “opt-out” of Medicare and enter into a private contract with a patient for covered services.
-
No Private Billing for Covered Services:You are generally not allowed to bill a Medicare patient privately for services that Medicare would typically cover, as this violates Medicare’s mandatory claims submission rules.
-
Mandatory Claims Submission:If you provide a Medicare-covered service to a Medicare beneficiary, you are generally required to submit a claim to Medicare.
-
ABN for Denied Claims:If a claim for a covered service is denied after a patient signs a valid ABN, the non-opt-out provider is then relieved of the limitations on charges that would otherwise apply
Yes. In California, you can see a physical therapist (PT) without a doctor’s visit for up to 12 visits or 45 calendar days, whichever comes first, under the state’s “direct access” law. After this period, you must get a referral from a licensed healthcare provider, such as a physician, who has performed an in-person examination and approved the treatment plan, for you to continue receiving PT services.
-
Limited Direct Access:
California law allows you to initiate physical therapy treatment without a doctor’s referral for a set initial period.
-
Time and Visit Limits:
This initial period is limited to a maximum of 12 visits or 45 days, with the first limit to be reached being the one that applies.
-
Physician Approval Required for Continuation:
If your physical therapy needs to continue beyond this 12-visit or 45-day window, your physical therapist will need a signed plan of care from a physician, podiatrist, or other authorized provider.
-
Written Patient Consent:
You must provide your written and verbal consent to the therapist after receiving notice that you can be treated for up to 12 visits or 45 days.
-
In-Person Examination:For the physician to approve continued treatment after the initial direct access period, they must have conducted an in-person examination and evaluation of you.
Home-based PT might also be covered if it’s determined that you are homebound or have significant difficulty accessing outpatient PT services. Check your insurance policy for specifics about physical therapy coverage, especially home-based services.
FREQUENTLY ASKED QUESTIONS
-
Non-Covered Services:You can privately bill a Medicare beneficiary for services that Medicare does not consider medically necessary or that are excluded from coverage by law, such as general fitness or wellness programs.
-
.
If you believe a service Medicare would normally cover might be denied for medical necessity, you must have the patient sign an ABN before providing the service. This notice informs the patient that they will be financially responsible if Medicare denies the claim, and they must agree to this by signing the form.
-
No Opt-Out for PTs:Unlike some other providers, physical therapists in California cannot “opt-out” of Medicare and enter into a private contract with a patient for covered services.
-
No Private Billing for Covered Services:You are generally not allowed to bill a Medicare patient privately for services that Medicare would typically cover, as this violates Medicare’s mandatory claims submission rules.
-
Mandatory Claims Submission:If you provide a Medicare-covered service to a Medicare beneficiary, you are generally required to submit a claim to Medicare.
-
ABN for Denied Claims:If a claim for a covered service is denied after a patient signs a valid ABN, the non-opt-out provider is then relieved of the limitations on charges that would otherwise apply
Yes. In California, you can see a physical therapist (PT) without a doctor’s visit for up to 12 visits or 45 calendar days, whichever comes first, under the state’s “direct access” law. After this period, you must get a referral from a licensed healthcare provider, such as a physician, who has performed an in-person examination and approved the treatment plan, for you to continue receiving PT services.
-
Limited Direct Access:
California law allows you to initiate physical therapy treatment without a doctor’s referral for a set initial period.
-
Time and Visit Limits:
This initial period is limited to a maximum of 12 visits or 45 days, with the first limit to be reached being the one that applies.
-
Physician Approval Required for Continuation:
If your physical therapy needs to continue beyond this 12-visit or 45-day window, your physical therapist will need a signed plan of care from a physician, podiatrist, or other authorized provider.
-
Written Patient Consent:
You must provide your written and verbal consent to the therapist after receiving notice that you can be treated for up to 12 visits or 45 days.
-
In-Person Examination:For the physician to approve continued treatment after the initial direct access period, they must have conducted an in-person examination and evaluation of you.
Home-based PT might also be covered if it’s determined that you are homebound or have significant difficulty accessing outpatient PT services. Check your insurance policy for specifics about physical therapy coverage, especially home-based services.
