Patients With CHOC Health Alliance Insurance
For our patients with CHOC Health Alliance, physician signatures are required on our reports to approve the plan of care. Please return signed reports promptly to avoid authorization delays.
maXum Pediatrics Clinic or Adults Clinic?
Typically we see patients 12 years and older at our Adults Clinic as long as they can follow typical instructions. If the patient has any type of neurological condition or is not typically developing, please refer them to our Pediatrics Clinic if they are under 18 – our Pediatrics Clinic specializes in developmental delays and neurological conditions with children and adolescents.
How Does Aquatic Therapy Work?
We treat offsite at the YMCA in Fullerton. Our therapists may or may not enter the water so we typically treat Adult patients only for safety purposes. If a child or adolescent is referred to participate we will evaluate them here in our clinic to see if they would safely benefit from our Aquatic Therapy services. Aquatic Therapy is typically in a group setting of 5-10 patients at a time working on exercises in a weightless environment.
I Have a Question About Referrals, CPT Codes, or Authorizations
Accurate evaluation CPT codes are required before a patient can be scheduled for an evaluation. Incorrect codes may delay scheduling and the authorization process. If modifications to the CPT codes or authorization are needed, the process can take 1 to 2 weeks to complete, and we may ask your office to assist with modifying the referral, as insurance carriers typically require changes to come from the referring physician. If you have questions regarding referrals, evaluation CPT codes, or authorizations, please contact our Authorizations Department at (714) 646-8319 (Option 1).
Why Does maXum Therapy Send DME Recommendations to Physician Offices?
Our therapists will send a DME recommendation to your office if they determine the patient would benefit from additional equipment (AFO’s & other Orthotics, Cranial Helmets, Serial Casting, Gait Trainers, Wheelchairs, etc). We ask for your assistance as insurance companies need the request to come from the patient’s PCP. Our therapists are always happy to communicate directly with the physician/office to answer any questions.