It has been our experience that the most frequently asked questions regarding Medicare documentation, coding and billing are found in the Medicare Benefits Policy or the Claims Processing Manual. The answers are directly from these manuals. We quote these FAQ answers directly from CMS Manuals and provide reference to the Code of Federal Regulations (CFR). Scroll to the bottom to submit a FAQ!
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When do recertifications of the Plan of Care that document need for extended therapy need to be signed?ed?
Is the physician that referred required to certify and recertify? Or can another physician do this?
How does Medicare define re-evaluations? If my state practice act requires a re-evaluation will it be paid by Medicare?
Delayed Certifications (1)
Plan of Care (12)
Reasonable and Necessary (2)
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