Frequently Asked Questions
What is Physical Therapy?
Physical Therapy (PT) is the treatment of disease, injury, deformity, or pain by physical methods such as mobilization of joints, therapeutic exercise/activities/massage, and electrotherapy. PT techniques promote mobility, reduce pain, restore function, and prevent disease.
What is the Difference Between a Physical Therapist and a Physical Therapy Assistant?
Physical Therapists (PTs) are highly-educated, licensed healthcare professionals. PTs complete a three-year post-graduate program, earning a Doctorate of Physical Therapy degree.
All therapists are required to pass a state licensure exam and are also required to take continuing education classes annually in order to maintain licensure.
Physical Therapy Assistants (PTAs) are healthcare professionals who aid the physical therapist in treating patients.
All PTAs are required to have an associate's degree from an accredited PTA program and be licensed in the state of Virginia. PTAs work under the direction and supervision of a physical therapist.
What Can I Expect From Physical Therapy?
You can expect to learn how to prevent or manage your condition so you can achieve long-term health benefits. Your Physical Therapist will follow the system below to ensure your time in physical therapy and at home is used effectively to reach your goals.
- Assess your symptoms
- Diagnose your condition.
- Plan your treatment.
- Treat your condition.
Continually evaluate the effectiveness of your treatment and adjust the treatment plan if necessary.
It helps you manage your condition at home and prevents the recurrence of problems.
Communicate with any other health professionals involved in your condition, such as your doctor, to ensure continuity of care is maintained while achieving your goals.
The success of your physical therapy usually requires your cooperation outside of our PT clinic. You will probably be required to participate in a home exercise program or some modifications to your postural or lifestyle habits.
Your dedication to these exercises and changes will greatly enhance the outcome of your physical therapy program and will help you to achieve your goals as quickly as possible.
Will My Insurance Cover Physical Therapy?
In most cases, physical therapy is a covered service; however, benefits vary by insurance plan. It is important to know your benefits before beginning therapy. Please contact your insurance company for specifics regarding your PT benefits.
How Many Visits Will Medicare Pay for Each Year?
Medicare doesn't limit the number of outpatient therapy visits but rather places a financial limitation on these services. This financial "Threshold" is a benchmark for a patient to be re-evaluated to see if they meet the criteria for continued treatment, which includes documentation indicating that the beneficiary requires continued skilled therapy to achieve their prior functional status or maximum expected functional status within a reasonable amount of time.
We track all Medicare financial limitations and discuss all treatment options prior to the annual cap being met. The Medicare Threshold in 2024 is $2330.
Do I Need a Referral/prescription for Physical Therapy?
No, direct access laws in Virginia allow you to seek care from your physical therapist without a physician referral. If you have an injury, pain, stiffness, or weakness, we can evaluate and treat you without an order from the doctor.
Our therapists are experts at diagnosing and treating orthopedic conditions, and coming directly to us can save you time and the expense of going to the doctor first.
Direct access applies to most insurances. However, if you have Medicare, you will still be required to have a doctor's order to receive treatment. If your insurance requires a PCP referral (such as Tricare Prime, Johns Hopkins, or UHC Exchange plans), you will be required to have one before we see you.
Do I Need Authorization for Physical Therapy?
Some managed care plans require written authorization forms from your Primary Care Physician (PCP) for each visit to a specialist. If you have one of these plans, it is your responsibility to make sure a valid authorization is on file before each therapy visit.
Often times these forms cannot be issued retroactively. Failure to obtain authorization from your PCP may drastically reduce your benefits/coverage with your insurance carrier.
It is important to know your plan requirements before beginning therapy. Please contact your insurance company for specifics regarding your PT benefits.
What Happens When My Insurance Benefits Run Out?
Each insurance plan has different coverage limits. Once your benefit limits are exhausted, you may continue treatment as a self-pay patient. We also offer a wellness plan that is a monthly payment. Call for more information.
What Do I Need to Bring to My First Physical Therapy Appointment?
Please bring a picture ID, your insurance cards, and the doctor's order if you have one. Arrive at least 15 minutes early for your initial evaluation.
What is Dry Needling?
The process involves the insertion of a small, monofilament needle, into the affected muscles. This elicits a twitch response followed by relaxation of the muscle, providing immediate relief for many patients. Through the identification and stimulation of trigger points, dry needling can "reboot" the muscle, leading to improved function and long-lasting pain relief. We utilize dry needling as a versatile tool to address various neuromuscular dysfunctions.
- Post-concussion Headaches
- Chronic Neck Pain
- Sciatica
- Whiplash Associative Disorder
- Headaches and Migraines
- Posture Dysfunction
- Plantar Fasciitis and Achilles Tendonitis
- Tennis Elbow (Lateral Epicondylitis)
- IT Band Friction Syndrome
- TMJ Dysfunction
- Rotator Cuff Pain
- Femoral Acetabular Impingement Pain (FAI)
- Patellofemoral Syndrome (PFS)
Do You Accept My Insurance?
We participate with most major insurance companies and will be happy to handle all insurance claims. If you do not see your insurance provider listed below, please contact one of our clinics to see if we accept your insurance.
- Aetna
- Aetna Medicare (Advantage Plan)
- Align / One call PT (W/C)
- Anthem BCBS
- Aetna Medicare (Advantage plan)
- BCBS FEP / PPO
- CareFirst BCBS
- CHAMPVA
- Cigna / ASH
- Compass Rose (UHC / UMR)
- CoreSource (Aetna)
- Coventry
- First Health
- GEHA
- Golden Rule (UHC / UMR)
- Great West (Cigna)
- Optimum Choice (UHC)
- Guardian
- Humana Medicare (HMO & PPO)
- Mailhandlers
- MDIPA (UHC)
- Medicare
- Medicare Supplemental Plans
- Medrisk (W/C)
- Mutual of Omaha
- OneNet
- OptumHealth
- PMA – Prince William County Schools (W/C)
- Samba (Cigna)
- Sentara Optima Health
- Tricare (Humana Military)
- UHC CCC+
- UnitedHealthcare / UHC Medicare (Advantage plan)
- UMR
- Veterans Administration
- Worker's Compensation plans
- Medicaid MCO plans (ie, Aetna Better Health, Molina, Sentara Optima, VA Premier, and Optima Family Care)
*** We also have Self-pay options available for individuals without health insurance.***
We are out-of-network with the following plan(s):
Anthem Healthkeepers Plus and Kaiser Permanente.
**Payment is due at the time services are rendered for all self-pay patients.**