Aquatic therapy treatment can be denied for many reasons. Many have nothing to do with the pool, but some do. And you can do something about those things!
Here is a quick list of many of the reasons Medicare and other payers will deny aquatic therapy.
See also this sample letter of appeal to use if aquatic therapy has been denied.
Reasons aquatic therapy sessions can be denied:
Are you a licensed provider?
Did you provide 1:1 contact?
Was the care skilled, not maintenance, with the intent to restore function?
Did you exceed the standard treatment duration and progression?
Did you provide an appropriate rationale for use of water?
Did you provide more than one type of water therapy per session? (for instance, contrast bath and aquatic therapy)
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