What is direct access?

DIRECT ACCESS
No referral? No problem!


You do not need a referral to be evaluated by a physical therapist, and you have the choice to determine which facility is right for you.
What is direct access?
o The ability to choose where you receive treatment without a prescription or physician referral. Maine state law allows direct access to physical therapists’ services for evaluation and treatment.
Direct access allows you:
o Freedom to choose PT’s based upon:
 Expertise/specialization
 Experience
 Location
 Value added service
o Immediate access to a PT for evaluation, diagnosis, and treatment without waiting for a doctor’s appointment
o Quicker healing
 Getting into treatment earlier leads to faster recovery
o Decreased secondary problems associated with delayed treatment
 Avoid unnecessary stiffness, scar tissue build-up, and prolonged pain
o Maximization of insurance benefits based upon deductibles, co-pays, and fee structures
A hospital-based facility may get paid up to four times the amount that a private physical therapist-owned facility gets for the same service. If your insurance benefit for physical therapy is limited by a price cap, which means the higher costs that a hospital-based facility already has will more quickly reduce your allowed dollar amount than at a private physical therapist-owned clinic. In short, your physical therapy benefit is effectively one quarter of what it should be if you go to a hospital-based outpatient facility.
What to expect:
o Evaluations are one hour, and upon completion of your physical therapy evaluation, we will determine your personal treatment plan.
 Most of our treatments are performed one on one, providing services you can’t perform adequately by yourself at home.
 If further diagnostic tools (e.g., x-ray, MRI, etc.) are needed to ensure proper care, your physical therapist will communicate findings with the physician of your choice.
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