What does reimbursement for LSVT BIG depend on?

Reimbursement for LSVT BIG primarily depends on thorough documentation that reflects medical necessity and the patient's progress. Insurers typically require evidence that the therapy is appropriate and justified for the patient's specific condition, which includes demonstrating that the treatment addresses functional deficits related to a medical diagnosis. This documentation needs to articulate how the therapy goals align with the patient's needs and how they have progressed throughout the treatment.

While completion of the treatment course might suggest adherence to the program, it alone does not guarantee reimbursement without supporting evidence of medical necessity. Similarly, the patient's age and insurance type may influence coverage decisions, but they do not inherently dictate the justification for reimbursement. Lastly, the duration of individual therapy sessions could be relevant in terms of session billing, yet it does not specifically correlate with the overall requirement for medical necessity and progress documentation critical for reimbursement approval.