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12/23/25

Complying with Outpatient Rehabilitation Therapy Documentation Requirements

The Centers for Medicare and Medicaid Services (CMS) has provided updated guidance regarding the use of a physician referral as the initial certification. To access this updated guidance, click

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06/09/25

Does the Medicare Program Recognize Direct Access?

In this article, I will answer the following questions regarding the Medicare program and direct access for outpatient therapy services:

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07/25/22

How Long is an Order Valid For?

One of the more frequent questions I receive has to do with how long is an order valid for from the time it is written, signed and dated by the physician. In this article, I will answer the following questions:

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10/18/21

Does CMS Require an Order for Outpatient Therapy

There is a myth that the Medicare program requires a physician order that will then allow the Medicare beneficiary to begin and/or continue outpatient physical, occupational and/or speech therapy services. Why do I say this is a myth? Lets find out. QuestionDoes the Centers for Medicare and Medicaid Services (CMS) require a physician order for outpatient therapy? Answer QuestionWhy might it be beneficial for a Medicare beneficiary to have an order prior to beginning outpatient physical, occupational and/or speech therapy services? Answer QuestionIs there another reason an order might be beneficial for a Medicare beneficiary to have an order prior

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06/17/19

When Does an Order for Therapy Expire

One of the most common questions I am asked via email and in-person during a seminar is “When does an order for therapy expire” or “How old can an order be before a patient starts therapy”? To answer this question, we must look in 3 places. The first is your  

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