A chat with a Physical Therapist today at noon. She told me that they enter the codes of diagnosis etc, and Medicare or Medicaid generates a response telling them how many sessions the patient can have, of what duration, and at what payment.
"What do you do here?", I asked.
She said that their department's policy is this: Patient gets whatever is reimbursable. If 8 sessions are allowed and they only need 4, they get 8. It can't hurt. If 8 are allowed and they need 30, they get 8.
"We don't even bother anymore asking them to pay for more therapy if they need it. If it's not free, they never take it."