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05/13/24

Medicare Progress Reports

I receive many questions regarding traditional Medicare and progress report rules, regulations, and requirements. In this article, I will answer the following questions regarding progress reports for traditional Medicare:

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08/01/22

Do Medicare Advantage Plans Require 10th Visit Progress Reports?

QuestionDoes the 10th visit Progress Report that applies to traditional Medicare patients also apply to all Medicare Advantage plans and their respective beneficiaries? Answer

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10/11/21

Billing for Progress Reports

I question I am often asked is how do I bill for the time it takes me to assess a patient (both subjectively and objectively), analyze and interpret the data I collected, and write the Progress Report that is required by the traditional Medicare program, some commercial insurance carriers and some state practice acts? In this article, I will answer the following questions: Question #1When completing a Progress Report, what CPT code do I bill? Answer #1 Question #2How do I account for the time it takes me to assess a patient, gather subjective comments and objective data, analyze and

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01/24/19

Progress Reports Since FLR Has Ended

Since functional limitation reporting (FLR) (G-codes) is no longer required in 2019 for traditional Medicare Part B therapy patients, does this mean Progress Reports are also no longer required every 10 visits? The answer is

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05/07/18

Can Assistants Write Progress Reports

Last week, I published “Who Writes Progress Reports Under Medicare Part B” and as you can imagine, had lots of follow up questions and comments. Some of the questions received were: 1. Can a physical therapist assistant (PTA) or occupational therapy assistant (OTA) see the Medicare patient the same day the physical therapist (PT) or occupational therapist (OT) also sees the patient and will write the progress report? 2. Can a PTA or OTA see the Medicare beneficiary for a follow-up therapy visit, collect the subjective information and objective data and include that information in their daily note? 3. Can

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04/30/18

Who Writes Progress Reports Under Medicare Part B

I am often asked if physical therapist assistants (PTAs) or occupational therapy assistants (OTAs) can write the progress report that is required by the Centers for Medicare and Medicaid Services (CMS) at least once every 10 visits for Medicare beneficiaries receiving outpatient therapy services. CMS is very clear on their answer regarding this question. According to CMS, the required progress report

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04/30/18

Must Progress Reports Be Signed By The Physician

Does the Centers for Medicare and Medicaid Services (CMS) require physicians to sign and date progress reports that are written by a physical therapist, occupational therapist and/or speech-language pathologist? The answer may surprise you. CMS does

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05/23/16

Progress Reports, Reevaluations and Recertifications All in One Note

Over the last several weeks, I have written articles on Reevaluations vs Progress Reports: What’s the Difference?, Progress Reports: What are the Required Elements?, and Progress Reports vs Recertifications: What’s the Difference? This week, I want to discuss is it possible for one note to include the required elements for a progress report, reevaluation and a recertification and if yes, how would the note look and would a physician need to sign and date the note. To answer the question, yes, one note can contain the required elements for a progress report, reevaluation and a recertification for Medicare Part B

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