Frequently Asked Questions

Who do we treat?

With many different options and techniques, chiropractic care is often appropriate for any age patient. Before treatment begins, a physical examination will be performed to ensure care is safe and appropriate for you. Our office is prepared to treat infants to the elderly, and we are a Participating Provider in Medicare.



What to expect?

If this is your first visit, Dr. Kat will perform a thorough physical examination and health history review. This initial visit will include your first adjustment, if deemed appropriate, and will last about 30 - 45 minutes.

After establishing your diagnosis and care plan, Dr. Kat will schedule a follow up appointment. Follow up visits will last anywhere from 15-30 minutes depending on your diagnosis.



What services are included?

Services will vary by appointment based on the needs of the patient. Services may include a physical examination, chiropractic adjustments, laser, decompression, manual myofascial work, instrument assisted myofascial work, kinesio-taping, nutritional counseling, and more.



What techniques are used?

Dr. Kat's adjusting style favors lower force chiropractic techniques. Adjusting techniques for in-office visits primarly include drop-table, instrument assisted adjusting with the ImpulseIQ, and Flexion Distraction. At times she will use SOT blocks, Activator Methods, and Applied Kinesiology. She is also certified in the Webster Technique, used most frequently with pregnant patients, but can be used successfully on any patient (male or female) with pelvic muscular imbalances. Our office also offers Class 4 Laser, Spinal Decompression, Graston, and Ultrasound.



What is the cost?

The following fee schedule is in effect December 1, 2020 - March 31, 2021

* call our office for special pricing for children 11 and under *

New Patient (Chiropractic) : $95

New Patient (Nutrition) : $125

Adjustment : $55

Adjustment + : $75

Decompression : $60

Decompression + : $95

Laser / Graston / Ultrasound : $65

Chiropractic Progress/Yearly Examinations : $45

Nutritional Progress Examinations : $45

Review of Imaging such as X-Ray, CT, or MRI : $45

Miscellaneous Fees:

* Saturday Cancellation Policy - Patients who do not cancel or reschedule their Saturday appointment by 5pm the day before (Friday) will be charged a $25 cancellation fee.

* $50 Travel Fee for all mobile visits is required at booking. Travel 21+ miles from 4600 Kietzke Lane, Reno, NV 89502 will have an additional travel fee negotiated prior to the appointment. We require 12 hours cancellation notice prior to our scheduled arrival time or your travel fee will be forfeited.

* $15 per flight of stairs for mobile appointments (Dr. Kat carries over 100 lbs of equipment with her on mobile visits)



Do we accept insurance?

We are a Participating Medicare Provider and follow all Medicare rules and regulations regarding Active Treatment and billing ( see section above). We are an Out-of-Network insurance provider for all other carriers. We offer courtesy billing and will submit claims to your out-of-network carrier if requested. Each claim we send on your behalf incurs PHC an administrative cost equal to 8% of the total billed. For example, an insurance claim totaling $55 costs our office $4.40 to process, and we have thus far been absorbing this cost as a benefit to our patients.

  • We do not contact your insurance carrier for advance verification of benefits as we are not in network with them
  • This means you will pay our cash-rate at the time of service and any reimbursement deemed appropriate by your carrier will go directly to your address on file (we will no longer provide in-office credits)
  • We cannot guarantee you will be reimbursed.
For out-of-network carriers, as well as Medicare Maintenance Adjustments, we will continue to absorb 3% of the administrative cost on your behalf, and the remaining 5% administrative cost will be added to your total at checkout.



What about x-rays?

In most patients, the chiropractor is able to determine what is occurring in the musculoskeletal system without the need for imaging technology. Imaging modalities are usually reserved for the more severe cases in which there may be a serious condition present, such as scoliosis, osteoporosis, spinal stenosis, or anything else. If after examination, it is determined imaging would be in your best interest, you will be referred to a local imaging center. Dr. Kat will then review the images and radiological findings to ensure a proper course of care is determined for you.



Do we accept Personal Injury Cases or Workman’s Comp cases?

Personal Injury (PI) patients will be accepted on a case-by-case basis. We do not accept Workman’s Comp patients at this time.



How do I make an appointment?

Schedule online at https://www.perfecthealthchiro.com/scheduling or call our office at (775) 826-2200



Where will my appointment be?

We have offices in Reno and Washoe Valley. You will have the option to select your preferred treatment location at the time of booking online (Washoe Valley will open for scheduling on December 7th, 2020). We also offer chiropractic housecalls, however those must be scheduled by phone at (775) 826-2200. Please note Dr. Kat will need a space, approximately 8 feet by 4 feet, to set up her chiropractic table to provide services to you.



Medicare Active Treatment vs. Maintenance Care

We wanted to remind our participating Medicare patients of the regulations put in place by the government regarding the coverage of your Chiropractic Treatment: Active Treatment

  • Requires an examination to begin

  • Accident or injury related care; think of this as Chiropractic “intensive care”

  • Your treatment is limited only to the area of spinal injury.

  • Your treatments must be what Medicare considers “Medically Necessary” and have an “Active Treatment Plan,” that has a beginning, middle, and end.

  • You will receive a limited number of treatments over a specific time; your acute pain is generally expected to clear up in 8 treatments or less. Under unusual circumstances this limit may be expanded.

  • If you are treated for more than 30 days, your treatment plan must be updated by doing a new examination.

  • You will be charged a minimal co-pay for spinal adjustments only. Any other services you receive, including required examinations, will be an out-of-pocket expense.

Maintenance Care

  • Examination once a year

  • “I like feeling good!” care; think of this as “preventive care”

  • Your treatment usually addresses the whole body.

  • Your treatments are aimed at “promoting health….and enhancing the quality of life…”

  • You can come in for treatments when you feel you need them to help function at your best.

  • You do not need a treatment plan.

  • You will be responsible for the cost of all services you receive up front, however we will bill your secondary insurance (if applicable) and let you know if coverage is applied.

What this means to you, a Medicare recipient

  • Most "Active Treatment Plans" will be in effect for a month or less. This will enable you to be treated 1 - 2x weekly for four weeks. In some cases treatment may go into a second or even a third month if there are enough other factors to explain why additional treatment is needed.

  • Your “Active Treatment Plan” ends when your condition has “stabilized.” This does not mean that you are no longer having symptoms! It means that the “Acute” phase of your problem has improved.

  • Patients currently identified as receiving "Maintenance Care" will be provided an Advance Beneficiary Notice (see next) in accordance with Medicare regulations.



What is Laser therapy?

Our Laser Abilities Fast and effective pain relief, reduced inflammation, accelerated tissue repair, increased
collagen production, improved nerve function, and increased blood flow. Analgesic – Blocks pain signals transmitted from the body to the brain and decreases nerve sensitivity. Anti-Inflammation – Reduces swelling caused by bruising, inflammation, and trauma. Accelerated Tissue Repair & Cellular Growth – Accelerates cellular reproduction and growth by increasing the energy available to the cell so it can more efficiently take on nutrients and remove waste. Improved Vascular Activity – Significantly increases the formation of new capillaries in damaged tissue; this speeds up the healing process and closes wounds quickly. Reduced Fibrous Tissue – Reduces scar tissue and adhesions following tissue damage from physical trauma and surgery. Improved Nerve Function – Speeds up the process of nerve cell reconnection and increases the amount of action potentials to optimize muscle function. Immunoregulation – Lasers are antibacterial, antiviral, and antifungal on contact and essentially kill all pathogens without affecting healthy surrounding tissue. Collagen Remodeling – Stimulates fibroblast development (the building blocks of collagen) in damaged tissue increasing collagen production by 300 - 400%.



What is Spinal Decompression?

Spinal decompression works by gently stretching the spine to relieve pain associated with discs, sciatica, spinal stenosis, facet syndrome, hip pain, and pinched nerves.

  • Relieves pressure on nerve roots responsible for numbness, tingling, and weakness in the arms, legs, and glutes.
  • Promotes movement of water, oxygen, and nutrient-rich fluids into the spine by cycling through distraction and relaxation phases.
  • By creating negative pressure (vacuum effect) in the discs, decompression therapy causes bulging or herniated disks to retract, taking pressure off nerves and other structures in your spine – even after failed surgery.
  • The vacuum within the disc stimulates growth of blood supply, secondarily stimulating a healing response. This results in pain reduction and proper healing at the injured site.
  • Long-hold stretching accomplished with spinal decompression can help trigger the body to relax muscles that are in spasm.



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