Progress Reports vs Recertifications: What’s the Difference?

May 16, 2016
Rick Gawenda

Two weeks ago, I discussed the difference between a reevaluation and a progress report that is applicable to all insurance carriers, including the Medicare program. To read that article, click HERE. Last week, I discussed what the required elements are for a progress report. To read that article, click HERE. This week, I will discuss the difference between a progress report and a recertification for Medicare Part B patients.

Under Medicare Part B, the Centers for Medicare and Medicaid Services (CMS) states the minimum progress reporting period shall be at least once every

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  1. When creating and editing goals, is there a preference or requirement of whether to use a number of visits the goal is to be met by or an actual date?

  2. Hi Rick.
    I enjoyed reading your article stating “minimum progress reporting period at least once every 10 treatment sessions.” Has Medicare eliminated the every 30 chronological days requirement if that comes sooner than the 10 treatment sessions?

  3. Is the PT still required to get at least 1 billable unit every 10 visits (progress note period) for Medicare?