I receive many questions regarding Medicare Part B certifications and recertifications as they pertain to outpatient physical, occupational and speech therapy services. In this article, I will answer the following questions:
1. How long is a certification and recertification valid for under Medicare Part B outpatient therapy services?
2. How soon must a plan of care be signed by a physician or NPP to be considered timely under Medicare Part B rules and
3. What is delayed certification and recertification?
4. What are some possible justifications to support delayed certification or recertification?
5. 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?
6. 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 addition, check out my 2 recent articles on who can certify and recertify for outpatient therapy services. Click HERE
to read about dentists and chiropractors certifying and recertifying an outpatient therapy plan of care. Click HERE
to see the full list of who can certify and recertify for outpatient therapy services.
How long is a certification and recertification valid for under Medicare Part B outpatient therapy services?
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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.