New Jersey Administrative Code
Title 13 - LAW AND PUBLIC SAFETY
Chapter 39A - STATE BOARD OF PHYSICAL THERAPY
Subchapter 3 - BUSINESS PRACTICES; PROFESSIONAL CONDUCT
Section 13:39A-3.6 - Prohibition on excessive fees; overutilization

Universal Citation: NJ Admin Code 13:39A-3.6

Current through Register Vol. 56, No. 18, September 16, 2024

(a) A licensee shall not charge an excessive fee for services. A price is excessive when, after review of the facts, a licensee of ordinary prudence would be left with a definite and firm conviction that the price is so high as to be manifestly unconscionable or overreaching under the circumstances.

(b) Factors which may be considered in determining whether a price is excessive include, but are not limited to, the following:

1. The time and effort required;

2. The novelty and difficulty of the professional intervention;

3. The skill required to perform the intervention properly;

4. Any requirements or conditions imposed by the patient or by the circumstances;

5. The nature and length of the professional relationship with the patient;

6. The nature and circumstances under which the services were provided (for example, emergency, home visit).

(c) A licensed physical therapist shall not provide intervention or conduct testing which in light of the patient's history and findings are unwarranted and unnecessary.

(d) A licensed physical therapist shall not charge a fee to a patient or a third party payor for an intervention or other physical therapy which is unwarranted and unnecessary.

(e) Charging an excessive fee shall constitute professional misconduct within the meaning of 45:1-21(e) and may subject the licensee to disciplinary action.

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