I receive many questions regarding certifications and recertifications for Part B therapy services. Some of the most common questions I receive are the following:
- How long is a certification and recertification valid for under Medicare Part B outpatient therapy services?
- How soon must a plan of care be signed by a physician or NPP to be considered timely under Medicare Part B rules and regulations?
- Who can sign a plan of care certifying and recertifying for outpatient therapy services under the Medicare program?
- What is delayed certification and recertification?
- What are some possible justifications to support delayed certification or recertification?
- If I only do an evaluation on a Medicare beneficiary under Part B and discharge them as they do not required continued therapy, must I have the plan of care signed and dated by the physician/non-physician practitioner?
- If I evaluate and treat a Medicare beneficiary in the emergency department or while under observation status and they do not get admitted to the hospital (i.e. they get discharged home), must I have the plan of care signed and dated by the physician?
In this article, I will answer all of the above questions and provide the reference for my answers. Lets begin!