Dealing with an injury or recurring pain is frustrating enough without having to navigate unnecessary appointments and paperwork before getting help. Fortunately, New Jersey allows most patients to see a physical therapist directly, without first obtaining a physician referral.
At Altius Physical Therapy, we want getting started to be straightforward. Whether you’ve sprained an ankle, developed back pain, or are dealing with a flare-up of an old injury, you can contact us directly to discuss your symptoms and schedule an evaluation.
Direct access allows you to receive a physical therapy evaluation and, when appropriate, begin treatment without first seeing a physician.
New Jersey does have requirements designed to ensure patients receive appropriate medical care. Within 30 days of starting treatment for pain or functional limitations, your physical therapist must inform your healthcare professional of record about your plan of care. A referral to another healthcare professional is also required when your condition falls outside the scope of physical therapy or you haven’t demonstrated reasonable progress within 30 days.
The 30-day rule does not automatically mean you must stop physical therapy or obtain a new prescription after 30 days.
We’ll evaluate your condition, monitor your progress, and help coordinate additional medical care when necessary.
Many insurance plans allow patients to begin physical therapy without a physician referral, but coverage requirements vary by plan.
Some insurance policies require a referral, prior authorization, or other documentation before certain services are covered.
Medicare has its own requirements. Traditional Medicare generally does not require a separate physician referral before a physical therapy evaluation, but a physician or other authorized healthcare professional must certify the treatment plan in accordance with Medicare rules.
If you’re unsure what your insurance requires, give us a call. We’re happy to help review your benefits and explain what may be needed before beginning treatment.
Our evaluation includes reviewing your symptoms, medical history, movement limitations, and functional goals. If we identify concerns that require additional medical attention, we’ll help guide you toward the appropriate next step.
You don’t need to know exactly what’s causing your symptoms before reaching out. That’s part of what we’re here to help you figure out.
Ready to get started?
Contact Altius Physical Therapy to schedule an evaluation or ask about your insurance requirements.