You may book online from one of the links above. Not all services may be listed yet. Thank you for you patience as we continue to build our site. Alternatively, you can call 402-750-2833. If your call is not answered, please leave a voicemail or text. If you have questions about how or what to book, please call or send us an email, nextgenptwellness@gmail.com

You will be in a private treatment space, one-on-one with our licensed and board certified physical therapist. She will do a review of your medical history, a functional/ movement examination, have a conversation about your goals for physical therapy, answer any questions you have, and develop a treatment plan that is evidence-based, holistic, and individualized to address your goals.

For pelvic patients, an internal pelvic floor examination is performed (upon consent) intravaginally or intrarectally to see how pelvic floor muscles are functioning (pelvic floor muscles are inside your pelvis). Exams are as pain-free as possible; even patients with pelvic pain are surprised that pelvic health evaluations are not as bad as she/he/they anticipated. Our therapist will prepare you and provide plenty of education prior to this exam. You are always free to decline an internal exam for any reason or bring along a spouse/friend/companion.

Without an evaluation, this is hard to answer. Pelvic health patients are generally seen once a week for a month, then every other week for 2-4 additional visits. Orthopedic patients may require twice a week visits if their symptoms are acute. However, some patients find that physical therapy on a monthly basis helps keep them functioning at the level they desire and will schedule “tune ups” accordingly. Some patients are better in 2 visits, some patients in 12. So much depends on the individual level of health, commitment to self-care, cause of dysfunction, and how many compensations have occurred over time. It can be a process but we will teach you how to manage symptoms at home with an individualized home exercise program.

No. Nebraska is a Direct Access state for physical therapy, where patients do not need a referral from a doctor for treatment or evaluations. Patients are allowed to seek evaluation from a licensed physical therapist without a prescription or referral from a physician. However, if you plan on seeking reimbursement from insurance, your insurance provider may require a physician’s referral. You may self-refer, and when the evaluation is completed, your therapist will send a Letter of Medical Necessity to your physician; once signed, this acts as a prescription for physical therapy.

In a cash-based treatment model, the physical therapist enters into a contract with the patient to provide physical therapy services in a manner that both parties have determined will help them reach treatment goals most efficiently. The patient pays at the time of service, allowing the therapist to focus on providing the best possible service while keeping administrative costs low. You may pay for services using cash, a check, or a credit/debit card. Typically, coding for physical therapy services provided (CPT codes) is determined using complex matrix of “timed codes” and “untimed codes”. This often results in confusing patient bills, as the amount billed to insurance will vary visit-to-visit based on the exact services provided that day. Cash-based billing eliminates this confusion and allows for clarity in decision-making on the part of the patient and their provider. Documentation for evaluations, treatment visits, and progress notes are performed just like any physical therapy practice and comply with all legal requirements.

In many cases, the out of pocket expenses for a course of physical therapy will be LESS for services provided. In large part, this is due to the ability to charge less per visit, with these charges being well below the national average charge submitted to insurance in a typical fee for service outpatient practice. NextGen PT + Wellness can charge less because the simplified cash-based fee structure streamlines billing and does not require hiring billing personnel or paying fees to a third party billing service. This allows NextGen staff to focus all energy on patient care, and allows patients to make informed decisions regarding the costs of their health care choices. Further, all sessions are spent 1 on 1 with each individual for a 60-90 minute session

This simply means that the therapist has not entered into a contract with individual insurance companies to receive reimbursement based on their contracted rates. There are MANY insurance companies, each with their own contracted rates and regulations, and NextGen’s energy is best spent working with patients. It is important to note that in-network provider status is not currently based on education, experience, skills, or treatment outcomes, but is often determined by the number of providers in a demographic area.

Most insurance companies, with the exception of Medicare, Medicaid and some HMOs, will provide payment for services received "out of network." Going out of network means that you can choose to see a physical therapist who is not a participating provider with your insurance company. Many patients choose to receive services out of network in order to see the physical therapist of their choice. The end goal of documentation and billing is the same – getting paid. In the case of cash based services, it is the patient who is waiting for reimbursement rather than the provider.