Home Health: Therapy ADRs

Published 10/05/2017

Effective April 1, 2015, Palmetto GBA will require the Initial Therapy Evaluation, current therapy re-evaluation(s) for episode under review and the  previous therapy re-evaluation(s) to be submitted with ANY Home Health Therapy records requested for review.
If an initial start of care was requested for review, include the Initial Therapy Evaluation and therapy re-evaluation(s).
On subsequent episodes, include the Initial Therapy Evaluation, current  therapy re-evaluation as well as therapy re-evaluation immediately prior to the requested episode. This allows Medical Review to analyze medical necessity of services billed.

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