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  • Medicare Outpatient Physical and Occupational Therapy

Medicare Outpatient Physical and Occupational Therapy

Medical Necessity - Criteria for Services

  • Skilled Therapy
  • Rehabilitative Therapy
  • Maintenance Programs

Documentation Requirements for Therapy Services

    • General Documentation Requirements
    • Evaluations and Re-Evaluations
    • Plan of Care
    • Certification and Re-certification of the Treatment Plan
    • Progress Reports 
    • Treatment Notes 
    • Discharge Note 
    • Medicare Signature Requirements 

Assistants, Aides, and Students

    • Supervision of PTAs
    • Supervision of OTAs
    • Students
    • Aides
    • Co-Signatures

Coverage of Specific Modalities and Therapeutic Procedures

    • Therapeutic Procedures
    • Modalities
    • Casting and Strapping (Coming Soon)

National Coverage Determinations for Therapy Services

KX Modifier

Targeted Medical Review Process

Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services

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