Referral Faqs

We are a great referral option for those who may have difficulty getting to a clinic due to transportation, physical limitations, or scheduling limitations. Quality care is provided in the home, office, or any other place you choose. You don’t have to be classified as “homebound” to receive our services, because we are a mobile outpatient clinic that bills Medicare Part B services. 

Each session consists of exercise and education components.  We also like to include the family in your care plan.  

We accept Medicare Part B. We are an out-of-network provider for all other insurances at this time. We can bill your Medicare Advantage plan for you, but you will need to have Out-Of-Network Benefits as part of your plan. This is because we want to ensure your medical care is driven by your needs and not by insurance wants. Many insurance plans limit the amount of time you can receive physical therapy while still requiring you to pay a copay. At New Direction Rehabilitation & Wellness YOU come first, and not the insurance company. Which means you get the quality care you deserve, and not just what the insurance will pay for. However, we can give you information on how to file a claim with your insurance company for you to be reimbursed by your insurance provider. We provide hour long treatment sessions, which is more than you would get from a typical outpatient clinic bound by the insurance restrictions. By giving you a longer treatment session could possibly decrease the total number of treatment sessions making your overall cost cheaper. 

Each session lasts 1 hour…..No double booking!! This will allow time to adequately address your needs. Our goal is to build lasting relationships and assist you with living your best life! The first visit will include a comprehensive physical therapy evaluation tailored to your condition.  Each session after that will include assessment of your current status, 1-on-1 treatment, and home exercise instruction. 

If you have Medicare B, and would like your insurance filed, then you would need a physician’s referral for Medicare to reimburse for services. If you do not want your insurance filed, then you do not need a physician’s referral for treatment. This is called Direct Access. Direct Access is when a patient receives skilled physical therapy services without first obtaining a written referral from a physician. As reported by the American Physical Therapy Association (apta.org), all 50 states and the District of Columbia (DC) allow physical therapists to evaluate patients and provide some form of treatment without a prior physician’s referral. However, we most certainly welcome all collaboration with physicians and other healthcare professionals, which is why with your permission we will fax a letter to your physician letting them know you are in our care, and will fax discharge outcomes. Direct Access can allow earlier access to physical therapy, which could possibly assist with improving the effectiveness of treatment and outcomes.  

If we are billing Medicare Part B, prices are set by the Medicare Fee Schedule, and we collect no upfront fees at time of services.  All other insurances are considered out-of-network, and you will need to check with your insurance to see if they reimburse for out-of-network providers. You may have an upfront cost based on your insurance. We also cannot guarantee reimbursement from your insurance company.

There are private pay options for those where insurance cannot be billed.  

Care Credit is another option you have to help pay for healthcare expenses if you don't have Medicare Part B.  Click the link below to find out more.

Click here to pay your Care Credit bill.