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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Medicare Evaluations

Members can always contact us with questions or request information even if it has not yet been posted to the website.  Consider joining today if you need assistance. 

Evaluations FAQs

  • Who can perform a therapy evaluation?
  • Can an assistant participate in an evaluation?
  • When does an evaluation need to be performed?
  • Can an evaluation and treatment be performed on the same visit?
  • What must be included in the evaluation?
  • When is an evaluation medically necessary?
  • Is an evaluation different from an assessment?
  • When is a screening more appropriate than an evaluation?

Additional Assessments

Billing Tips for the Evaluation


About Us

Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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