Lately, I have been receiving questions regarding the Medicare program and does the Centers for Medicare and Medicaid Services (CMS) recognize and pay for direct access for outpatient therapy services. In CMS Publication 100-02, Chapter 15, Section 220.1.1, CMS states “Although there is no Medicare requirement for an order, when documented in the medical record, an order provides evidence that the patient both needs therapy services and is under the care of a physician”. So does this mean the Medicare program recognizes and pays for Direct Access since a physician order is not required?
The answer is
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