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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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Medical Necessity 

Guidelines for demonstration medical necessity in physical, occupational, and speech therapy documentation for Medicare.  Members can contact us with questions regarding Medicare documentation, billing, and compliance.   

Medical Necessity FAQs

    • When are services considered to be medical necessary under Medicare rules?
    • When are services considered to not be medically necessary?
    • What factors demonstrate the need for therapy services?
    • Is a patient’s medical condition proof that the patient needs therapy?
    • How can medical necessity be demonstrated in documentation?
    • How can I continually show that therapy is medically necessary?


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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Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars.  Members also have access to compliance and billing support.

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