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Printed Date: 9/22/2015
Below are the top reasons of non-affirmations for therapy services:
Ensure that the documentation submitted supports the medical necessity of the therapy services. These services must be:
The physician and/or physical therapist's evaluation/re-evaluation assess the area for which physical therapy treatment is being planned. It must be completed prior to beginning therapy. Evaluations must contain the following information:
The American Physical Therapy Association recommends the goals include the following components:
The documentation of the beneficiary encounter should relate back to the goals. Willard and Spackman recommend the RUMBA test:
A complete therapy order must include:
An order that states “eval and treat” must be followed by an order with in the information listed above.
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Last Updated: 08/13/2019