When a Part A resident transitions from Part A to Part B, is a new evaluation required? Is there a CMS policy on this?
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Is a Medicare Part A resident with therapy orders for 5 days per week “allowed” to miss a visit for a Federal Holiday, or any other reason?
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Do SNF’s get reimbursed in any way for PT, OT or SLP Evaluations for a new admission covered under Medicare Part A? Our administrator is saying yes but I can’t find this information anywhere. Can you clarify whether SNF’s get reimbursed a separate rate for doing a therapy eval for Med A?
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Where exactly can I find where the OT/PT/SLP need to have their plan of care signed by the physician when treating under Medicare Part A? Does the Medicare Certification cover this?
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I have an OT student who would like to be able to treat independently. I understand we both can’t treat different residents and bill as individual, but can you explain how to bill if she is doing a treatment while I am evaluating? Can the student treat a Medicare Part A resident while I evaluate another, and can we then both bill individually, or is this concurrent?”
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Do we need a physician order for group and concurrent treatment? We write our orders for 5 days per week for 4 weeks. Does this cover group?
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Clarification needed! An expert in the field of “outpatient therapy” provided education stating “a new evaluation is NOT required when a patient changes insurance. How does this apply to transitions between Medicare Part A and Part B in the SNF setting? (AH, Director)
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Is there a Medicare Part A requirement that a resident has to have at least 5 days of therapy during the initial 7 days of admission?
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For Medicare Part A, can a treatment frequency range (ie: 3-5 days per week) be used, or is an order for Evaluation and Treatment sufficient?
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Are clarification orders for therapy necessary in the SNF?
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Is documenting total treatment minutes and CPT codes every day enough for Medicare Part A requirements? (Becky, PT)
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