( Learn about the recent enforcement targeting aquatic therapy providers and how it affects the use of CPT code 97113 claims. Read on for important information and FAQs.)
Aquatic therapy has become a popular form of rehabilitation for patients with a wide range of conditions. It provides a low-impact and supportive environment that can be beneficial for those who have difficulty with land-based exercises. However, recent enforcement actions have targeted aquatic therapy providers, causing concern for both providers and patients. In this article, we will discuss the enforcement targeting aquatic therapy providers and its impact on the use of CPT code 97113 claims.
The enforcement targeting aquatic therapy providers is a recent initiative by the government to crack down on fraudulent billing practices in the healthcare industry. This enforcement has specifically targeted providers who use CPT code 97113 for aquatic therapy services. CPT code 97113 is used to bill for therapeutic exercises performed in a pool or other aquatic environment.
The government is targeting aquatic therapy providers because of the growing number of fraudulent billing practices related to CPT code 97113. Some providers have been found to bill for services that were not actually performed or to bill for services that were performed but not medically necessary. This type of fraud increases healthcare costs for everyone and undermines the integrity of the healthcare system.
For aquatic therapy providers, the enforcement targeting aquatic therapy providers and CPT code 97113 claims means that they must be extra vigilant in their billing practices. Providers must ensure that they are only billing for services that are medically necessary and that were actually performed. They must also have documentation to support their billing practices. Providers who are found to be engaging in fraudulent billing practices may face penalties, including fines and exclusion from government healthcare programs.
For patients receiving aquatic therapy, the enforcement targeting aquatic therapy providers and CPT code 97113 claims means that they may experience some changes in their therapy services. Providers may be more cautious in their billing practices, which could result in fewer services being covered by insurance. Patients should also be aware of any changes in the availability of aquatic therapy services as a result of the enforcement.
Q. Will the enforcement targeting aquatic therapy providers and CPT code 97113 claims affect the availability of aquatic therapy services?
A. It is possible that the enforcement may affect the availability of aquatic therapy services, as providers may be more cautious in their billing practices. However, it is also possible that the enforcement will have little or no impact on the availability of aquatic therapy services.
Q. Will the enforcement targeting aquatic therapy providers and CPT code 97113 claims increase the cost of aquatic therapy for patients?
A. It is possible that the enforcement may result in an increase in the cost of aquatic therapy for patients, as providers may be more cautious in their billing practices and may bill for fewer services. However, it is also possible that the enforcement will have little or no impact on the cost of aquatic therapy for patients.
Q. Can patients still receive aquatic therapy even if the enforcement targeting aquatic therapy providers and CPT code 97113 claims is in effect? YA. es, patients can still receive aquatic therapy even if the enforcement is in effect. The enforcement is focused on fraudulent billing practices and is not intended to limit access to aquatic therapy services.
The enforcement targeting aquatic therapy providers and CPT code 97113 claims is a significant development in the healthcare industry. It highlights the importance of accurate and ethical billing practices, and its impact will be felt by both providers and patients. Providers must be vigilant in their billing practices and ensure that they are only billing for services that are medically necessary and that were actually performed. Patients should also be aware of any changes in the availability and cost of aquatic therapy services as a result of the enforcement. Despite these changes, patients can still receive aquatic therapy, and it remains an important form of rehabilitation for many individuals.
Nirvana Solutions can help physical therapy practices in a number of ways. Some of the benefits of working with Nirvana Solutions include:
Undergoing a government audit for physical or aquatic therapy claims can be stressful, but with Nirvana Solutions, you’ll have a dedicated team comprising experienced legal representation and Certified Medical Revenue Managers on your side. Our team has extensive experience and expertise in this area, and many are also certified coders and reimbursement specialists. Contact us for a free consultation today.