Frequently Asked Questions

Find clear answers about scheduling, insurance, therapy sessions, and our service locations to help you prepare for your mobile therapy experience.

General Questions

  • Do I need a physician referral to start my in-home therapy service?

    In Maryland, Direct Access allows you to begin both Physical and Occupational Therapy without a physician’s referral for the first 30 days.

    While you can start your evaluation and treatment immediately, keep in mind that most insurance providers—including Medicare—require a doctor to sign off on your Plan of Care within that first month to continue treatment and ensure your visits are covered.


  • How can my physician submit a referral for in-home physical or occupational therapy?

    Your doctor's office can initiate PT/OT services by faxing the required orders to 410-413-7738.

  • How do I schedule an appointment?

    Appointments can be booked by calling our office. You can also inquire in our Contact page. We offer flexible times to accommodate your availability.

  • Do I need to be homebound to qualify?

    No. Unlike home health services, our program is designed for patients who are not homebound and are appropriate for outpatient (Part B) therapy.

  • What should I expect during the intake process?

    During intake, a therapist will review your medical history, assess your current condition, and discuss your therapy goals to create a personalized plan.
  • Do you accept insurance?

    We accept Medicare Part B insurance. Our team will verify your coverage and help you understand any out-of-pocket costs before your first session.

  • I have Medicare Part B insurance. Will it cover 100% of my visits?

    Generally, no. Medicare Part B typically covers 80% of the Medicare-approved amount for the covered services. You are usually responsible for the remaining 20% co-insurance after you have met your annual part B deductible.

  • What happens during a therapy session?

    Sessions include guided exercises, functional training, and education tailored to your needs, all conducted in the comfort of your home.
  • What are your service areas?

    For more detailed information, check out our contact page.

    Click here
  • How do I request for my records?

    To obtain a copy of your records, please reach out to our office and send an email request to records@nextstep-rehab.com.

  • How do I know which service is right for me?

    Our team will guide you based on your needs and goals. Many clients benefit from combining services to address safety, mobility, and long-term independence.

  • What is a Superbill, and how does it help me with insurance?

    A superbill is an itemized receipt containing all the necessary medical billing codes—such as CPT (procedures) and ICD-10 (diagnoses) codes—that your insurance company requires to process a claim for out-of-network reimbursement. Because our mobile practice is likely "out-of-network," we provide this document to you after your session so you can submit it to your insurance for potential reimbursement.

  • How do I submit the superbill to my insurance?

    Most insurance companies allow you to submit superbills through their member portal, via fax, by mail, or through their official mobile app. We recommend calling the "Member Services" number on the back of your insurance card to verify their preferred submission method and to understand your out-of-network benefits.

  • Will my mobile therapy session be covered?

    Coverage depends on your specific insurance policy's out-of-network benefits. Generally, if your plan includes out-of-network coverage, and the treatment is deemed medically necessary and accompanied by a valid diagnosis code, a portion of the fee may be reimbursed after you meet your deductible.

  • When will I receive my superbill?

    Our mobile practice generates and sends superbills securely, typically via email, on a weekly basis to summarize all your sessions. If you need a specific date for a claim, please ask, and we can provide it sooner.

Telehealth

  • What is telehealth therapy?

    Telehealth therapy allows you to meet with a licensed physical or occupational therapist through secure video visits from your home. Sessions are guided in real time and may include movement assessments, exercise progression, safety training, and education.

  • Is telehealth therapy effective?

    Yes. Research and clinical practice show telehealth is effective for many conditions, especially:

    • Balance and fall prevention
    • Post-surgical recovery (selected cases)
    • Chronic pain management
    • Functional mobility training

    However, some conditions may require hands-on care. In those cases, we use a hybrid model (telehealth + in-person) to ensure the best outcomes.

  • Who is a good candidate for telehealth therapy?

    Telehealth may be appropriate if you:


    • Can follow instructions and participate safely at home
    • Have a caregiver available (if needed)
    • Need guidance, progression, or monitoring rather than hands-on treatment

    If your condition requires manual therapy or detailed physical examination, we will recommend in-person care.

  • Do I need any special equipment?

    No special equipment is required. You only need:

    • A smartphone, tablet, or computer
    • Internet connection
    • A safe space to move

    Your therapist will guide you using items already in your home whenever possible.

  • What types of therapy services can be done via telehealth?

    Common telehealth services include:


    • Therapeutic exercise
    • Neuromuscular re-education
    • Gait and balance training
    • Functional mobility and ADL training
    • Home safety assessments
    • Caregiver training
  • Is telehealth secure and HIPAA-compliant?

    Yes. We specialize in a hybrid care model, allowing you to:


    • Start with telehealth
    • Transition to in-home visits
    • Combine both for optimal recovery

    This flexibility improves outcomes and continuity of care.

  • Can i attend telehealth while travelling?

    Whether you can do telehealth depends on your destination. For licensing reasons, your therapist must be authorized to practice in the state where you are physically located during your appointment.

  • When are telehealth appointments available?

    All telehealth sessions are conducted from our practice locations. 


    Our current telehealth windows are:

    • Morning Sessions: 8:30 AM – 10:30 AM
    • Afternoon Sessions: 4:00 PM – 6:00 PM

    Please contact your licensed therapist regarding their availability.

Additional Services

Wellness Coaching

  • What is wellness coaching?

    Wellness coaching focuses on maintaining and improving your strength, balance, and mobility after therapy or as a preventative approach to stay active and independent.

  • Is this covered by insurance?

    Wellness coaching is a cash-based service and is not billed through insurance. However, some plans may offer fitness reimbursements.

  • Who is this program for?

    • Individuals who have completed therapy
    • Those wanting to prevent decline or falls
    • Anyone looking to stay active and independent at home
  • What types of activities are included?

    Sessions may include strength training, balance exercises, mobility work, and functional movement training tailored to your daily needs.

  • How is this different from physical therapy?

    Physical therapy focuses on treating specific medical conditions, while wellness coaching focuses on maintaining progress, preventing decline, and supporting long-term independence.

Safe Driving Risk Screening

  • What is a Safe Driving Risk Screening?

    This is a session that evaluates the physical and cognitive skills needed for safe driving, such as strength, coordination, reaction time, and the ability to safely get in and out of a vehicle.

  • Is this a driving test or official clearance?

    No. This is not a formal driving evaluation or clearance. We focus on preparing you and identifying potential risks. If needed, we will refer you to a certified driving rehabilitation specialist for further evaluation.

  • Who is this program for?

    • Older adults wanting to continue driving safely
    • Individuals recovering from injury, surgery, or neurological conditions
    • Families concerned about a loved one’s driving safety
  • What happens if concerns are identified?

    We will discuss findings with you and your family and recommend next steps, which may include exercises, safety strategies, or referral to a specialist.

  • Where does the screening take place?

    Sessions are conducted in your home or assisted living facility (ALF) for comfort and convenience.

Home Safety & Modification Coordination

  • What is Home Safety & Modification Coordination?

    This service evaluates your home environment to identify safety risks and provides guidance on modifications, equipment, and improvements to help you move safely and independently.

  • What areas of the home are assessed?

    We review key areas such as entryways, stairs, bathrooms, bedrooms, and common living spaces.

  • Do you install equipment or perform home modifications?

    No. We provide recommendations and coordinate with trusted vendors or contractors, but you are free to choose any provider.

  • What types of recommendations might be made?

    Grab bars and bathroom safety Lift chairs (including options from Golden Technologies) Stair safety solutions such as railings or stair lifts Furniture and layout adjustments

  • Is this covered by insurance?

    This is a consulting and wellness-based service and is not typically covered by insurance.

  • Who benefits most from this service?

    • Individuals at risk for falls
    • Those recovering from injury or surgery
    • Families planning for aging in place
    • Caregivers wanting to improve safety at home
  • Will I receive a report?

    Yes. You will receive a detailed home safety report with clear recommendations and next steps.

Complaints and Grievances

  • How do I file a complaint or grievance with Next Step Rehab?

    You can file a complaint at any time — verbally with any staff member during or after a visit, by phone, or in writing by emailing us at complaints@nextstep-rehab.com.


    Once received, your concern is logged and assigned to our Complaint Officer, who will acknowledge your complaint within 3 business days and provide a written resolution within 14 calendar days.

  • Will filing a complaint affect my care?

    Absolutely not. Next Step Rehab has a strict non-retaliation policy. Filing a complaint — whether about clinical care, billing, scheduling, or staff conduct — will never result in changes to your treatment, reduced services, or any form of discrimination.


    Your right to speak up is protected under both our internal policy and applicable federal and Maryland state patient rights laws. We encourage you to raise concerns early so we can address them quickly.

  • What types of complaints can I file?

    We accept complaints across all aspects of your experience with us, including:


    Clinical care  ·  Billing or insurance  ·  Staff conduct  ·  Scheduling or access  ·  Privacy or HIPAA concerns  ·  Home safety or equipment


    If you are unsure whether your concern qualifies, contact us anyway. We would rather hear from you than have a concern go unaddressed.

  • What if I am not satisfied with the resolution?

    If you feel your concern was not resolved to your satisfaction, you have the right to request an external review at any time — at no cost to you and without affecting your care.


    You may contact:


    Medicare: 1-800-MEDICARE (1-800-633-4227)

    Maryland Office of Health Care Quality (OHCQ): 1-877-402-8218

    HHS Office for Civil Rights (HIPAA): 1-800-368-1019


    We will provide these contacts in writing upon request and will cooperate fully with any external review.

  • Can a family member or representative file a complaint on my behalf?

    Yes. An authorized representative — such as a family member, caregiver, legal guardian, or healthcare proxy — may file a complaint on your behalf. Anonymous complaints are also accepted and investigated to the extent possible given the available information.


    If you wish to designate a representative, simply let us know at the time of your complaint or contact us at complaints@nextstep-rehab.com to discuss your options.

Get Started with Next Step Rehab

Our team is ready to support your recovery journey with expert care delivered directly to your home.

Contact us to arrange your first appointment.

Contact Us