Documentation Requirements to Support Therapy Above the Medicare Threshold

October 7, 2019
Rick Gawenda

A question I am often asked is what are the documentation requirements that the Centers for Medicare and Medicaid Services (CMS) requires to support outpatient physical, occupational and/or speech therapy services above the annual therapy dollar threshold. The answer is there

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  1. Is there any requirement for a therapist to do a discharge summary if the patient stops attending therapy? Is there a timeframe when it should be done.