Below you will find a list of frequently asked question. To get the answer to any of the below questions, simply click on the question to reveal the answer.
Until now, the answer to this question has always been yes, however, in the past two years, legislation has been amended that has created Direct Access so that patients can now access our services directly without a prescription. Medicare does not recognize Direct Access yet, so if you are on Medicare, you do need a prescription from your doctor. Please see the Direct Access icon on the home page for additional information.
Expect your initial visit to take 60 to 90 minutes, which allows sufficient time for the therapist to perform a thorough evaluation and get you started on treatment. Typically, you will be given home instruction on the first day as well.
Our offices are open early in the morning and late into the evening to accommodate work and school schedules. The hours vary slightly by office, typically hours start at 7:00 or 7:30 AM and our last patient time is 6:00 PM. Please select the office that is most convenient to you and call to obtain the exact schedule for that office.
Some insurance companies do require a referral or authorization either prior to you being seen in the office or after the initial evaluation has taken place. They may require that we seek authorization for treatment. We can help you with these authorizations.
Patients with HealthAmerica and Advantra do need to obtain a referral from the referring physician prior to initiating physical therapy. Once you have obtained this authorization, we will assist you with any additional information that your insurance company may require to allow for ongoing treatment.
We pride ourselves on getting patients scheduled very quickly. Most times same day appointments are available especially for a severe, acute problem; rarely will you be asked to wait more than 1 or 2 days for an appointment. If your condition is urgent, be sure and convey this to the receptionist when you call.
Most insurance companies include coverage for physical therapy, but it is best to check your insurance book, or call the toll-free number to contact your insurance provider to ask if outpatient physical therapy is covered. You may be responsible for a deductible or co-pay, and some require pre-certification before treatment. We also verify benefits, but it is best for you to try to get the information before you come in, to make sure you have the coverage.
Yes, at ESSMC we take great pride in keeping patients scheduled with the primary therapist. This is one quality that separates us from other PT providers. Of course, there might be times when your primary physical therapist is out of the office, however, daily notes are charted which facilitates excellent consistency of care from visit to visit.
Yes. Medicare does cover physical therapy service that is deemed medically necessary and ordered by a physician. Medicare will continue to provide coverage as long as the therapist can document improvement in the patient’s condition. The therapist will submit reports to the physician every 90 days to re-certify the plan of care if necessary.
A typical frequency is three times per week, with a minimum of two times per week. Your therapist will inform you of the desired frequency based on the evaluation findings, the severity of your condition, and the suggestion of the referring physician.
This stands for Employer Group Health Insurance and it usually pertains to Medicare subscribers.