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Questions & Answers

Welcome to Momentum Physical Therapy!What happens during my first visit?

What do I wear?

How long is each appointment?

Why don't your accept insurance?

Can I bill my insurance for reimbursement?

Do I need a referral?

What happens during my first visit?
During your first visit you can expect the following: Arrive at your appointment with your paperwork completed (you can download it from our website - see the forms link).

If you haven’t completed the paperwork, please arrive 15 minutes early so that you may have this completed before your appointment begins.

You will provide us with your prescription for physical therapy if you have one. You will be seen for the initial evaluation by Dr. Ennis.

The therapist will discuss the following:

  • Your medical history.
  • Your current problems/complaints.
  • Pain intensity, what aggravates and eases the problem.
  • How this is impacting your daily activities or your functional limitations.
  • Your goals with physical therapy.
  • Medications, tests, and procedures related to your health.

The therapist will then perform the objective evaluation which may include some of the following:

  • Movement Assessment- a head to toe assessment of specific movement patterns
  • Palpation - touching around the area of the pain/problem. This is done to check for the presence of tenderness, swelling, soft tissue integrity, tissue temperature, inflammation, etc.
  • Range of Motion (ROM) - the therapist will move the joint(s) to check for the quality of movement and any restrictions.
  • Muscle Testing - the therapist may check for strength and the quality of the muscle contraction. Pain and weakness may be noted. Often the muscle strength is graded. This is also part of a neurological screening.
  • Neurological Screening - the therapist may check to see how the nerves are communicating with the muscles, sensing touch, pain, vibration, or temperature. Reflexes may be assessed as well.
  • Special Tests - the therapist may perform special tests to confirm/rule out the presence of additional problems.
  • Posture Assessment - the positions of joints relative to ideal and each other may be assessed.

The therapist will then formulate a list of problems you are having, and how to treat those problems. A plan is subsequently developed with the patient's input. This includes how many times you should see the therapist per week, how many weeks you will need therapy, home programs, patient education, short-term/long-term goals, and what is expected after discharge from therapy. This plan is created with input from you, your therapist, and your doctor.

What do I wear?
It is best to wear loose comfortable clothing that allows Dr. Ennis to examine the body area you are being seen for. If you are being seen for a lower body injury, it is best to wear or bring shorts. For an upper body injury, a tank top is best. Be sure to bring sneakers as well.

How long is each appointment?
The initial visit is 60 minutes in length. All follow up visits are between 30-60 minutes. The treatment length is determined based on each patient’s individual needs.

Why do you not accept insurance?
I am set up as an upfront fee for service practice. An hour appointment is 100 dollars and a 30 minute appointment is 50 dollars. This allows the patient to know upfront what the cost is and to allow me to use the most effective techniques. With this practice model I am able to get patients in immediately as well as spend dedicated hands on time with all patients. This allows me to meet the needs of the patient without insurance companies dictating treatment protocol. Patients are able to submit a specialized receipt I have created to their insurance company for possible reimbursement.

Can I bill my insurance for reimbursement?
This depends on the insurance you have, but YES, many patients at Momentum Physical Therapy send self-claims to their insurance. I will provide you with a specific receipt that includes the information you need to submit to your insurance company. You should be able to print claim forms off your insurance company’s website, and send it in with the receipt you are given at your physical therapy appointment. The amount of reimbursement depends on your insurance plan. If you are planning to do self-claims you should call your insurance company to inquire about details. Ask about reimbursement for “out-of-network Physical Therapy” expenses, and make sure there are no other requirements like a pre-authorization before you get started.

Do I need a referral?
New Hampshire is one of the states that allow direct access for physical therapy. A prescription or referral for physical therapy is not required; you can call us to make an appointment right now. Starting physical therapy as soon as is possible after injury or pain has begun, can make the difference between your condition being temporary or chronic.

Some health insurance companies do require you to have a referral in order to be reimbursed for your treatment. All insurance companies and policies are different. You are encouraged to contact your insurance company before starting physical therapy to make sure all necessary steps are taken. In general, if your insurance requires a referral from your primary care physician to see a specialist, you will need a referral for physical therapy. You do not need to wait a week or more to be seen by your primary care physician or orthopedic specialist prior to being seen in our office. We encourage you to call us immediately if you experience an injury or have pain.

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Disclaimer: This site is for informational purposes only. It is not intended for self-treatment. Please contact us to schedule your personal consultation.

169 Daniel Webster Highway Suite 1, Meredith NH - 603-504-4166

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