Why is an authorization needed for initial therapy visit requests and subsequent therapy visit requests?

Cohere believes in closely monitoring the patient’s responsiveness to therapy and condition progression and encourages periodic re-assessment of the patient’s need for therapy. For patients needing physical therapy...

  • The initial authorization represents the first series of physical therapy sessions.
  • The subsequent authorization request represents the patient’s demonstrated need for additional therapy beyond the first (initial) treatment sessions.

Physical therapy providers should include documentation to demonstrate condition improvement (e.g pain reduction and functional improvement) after the initial series of physical therapy sessions to obtain approval for subsequent sessions.

*Also, please note, the evaluation visit DOES NOT need authorization.*

 

Have more questions?
Submit a request