tci Medicare Compliance & Reimbursement - 2004 Issue 43

Rehab: CMS Clarifies CORF Coverage Rules

Here are the services that CMS will never cover in a CORF.If you're receiving denials for services provided in a comprehensive outpatient rehabilitation facility, a recent Centers for Medicare & Medicaid Services program transmittal could shed some light on the reasons why. CMS Transmittal 21 clarifies general CORF requirements, and what services Medicare will and will not cover in the CORF setting. Among the highlights are:  Medicare does not cover any treatments involving exercises that do not require the "skilled services of therapists or other professional rehabilitation practitioners."   A CORF need not provide home evaluations...

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