tci Medicare Compliance & Reimbursement - 2005 Issue 22

Rehab: Medicare Clarifies Tricky Therapy Supervision Issue

Physician must certify plan of care each month.Providers confused about how to supervise therapists providing services to their patients may soon get relief.Providers won't receive a denial for therapy services merely because the physician hasn't yet issued an order or referral for therapy, the Centers for Medicare and Medicaid Services says in Transmittal 3648, issued May 6. But Medicare will deny the claim if the physician doesn't certify the plan of care every 30 days, indicating that the patient was under the care of the physician and needed the treatment in the care plan. The carriers will...

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