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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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Comprehensive Outpatient Rehabilitation Facilities

Guidance on Medicare regulations and billing for Comprehensive Outpatient Rehabilitation Facilities (CORFs).  Members have full access to the material below and can contact us with questions about any Medicare compliance or billing issues.  

Definitions

CORF Billing Rules

    • Allowable Revenue Codes on CORF 75X Bill Types
    • Off-Site CORF Services
    • Notifying Patient of Service Denial
    • Billing for DME, Prosthetic and Orthotic Devices
    • Group Therapy Services (Code 97150)
    • Therapy Students
    • Billing Non-Therapy Services

Governing Body and Administration

    • Disclosure of Ownership
    • Administrator
    • Group of Professional Personnel
    • Institutional Budget Plan
    • Patient Care Policies
    • Delegation of Authority

Clinical Records

    • Content
    • Protection of Clinical Record Information
    • Retention and Preservation

Utilization Review Plan

    • Utilization Review Committee
    • Utilization Review Plan

Personnel Qualifications

    • Qualifications for Staff
    • Covid-19 Policies


Covered Services

    • Required and Optional CORF Services
    • Rules for Provision of Services
    • Specific CORF Services

Compliance with State Laws

    • Licensure of Facility
    • Licensure of Personnel

Comprehensive Rehabilitation Program

    • Physician Services
    • Plan of Treatment
    • Coordination of Services
    • Provision of Services
    • Scope and Site of Services
    • Exceptions
    • Patient Assessment
    • Laboratory Services

Physical Environment

    • Safety and Comfort of Patients
    • Sanitary Environment
    • Maintenance of Equipment, Physical Location, and Grounds
    • Access for the Physically Impaired

Emergency Preparedness

    • Emergency Plan
    • Policies and Procedures
    • Communication Plan
    • Training and Testing
    • Integrated Healthcare Systems


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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