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06/15/26

Using a Physician Order as the Initial Certification for Medicare

Are you aware that you can use a physician order in lieu of a physician signing your initial plan of care? You didn’t? Don’t feel bad, you are not alone! Reviewers at your Medicare Administrative Contractor who are reviewing your outpatient therapy documentation are unaware as well. When Did This Change Occur? What Was The Change? What Criteria Must be Met for an Order to Serve as a POC? Which Frequency and Duration Do I Use? What Outpatient Therapy Settings Does This Change Apply To? Where Can I Obtain Additional Information on this Topic?

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09/01/25

Can a Physician Order Serve as the Initial Certification?

There is confusion as to whether or not a physician order can serve as the initial plan of care for an original Medicare beneficiary receiving outpatient therapy. In this article, I will answer the following questions:

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06/23/25

Aetna Announces Major Change for Physical Therapy Services

Aetna has announced 2 major changes that have a significant impact on outpatient physical therapy services. In this article, I will answer the following questions:

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04/08/25

2026 Documentation for Evaluations and Reevaluations for PT, OT, and SLP

This 2-hour online course will assist physical therapists, occupational therapists, and speech-language pathologists in understanding the required elements of documentation for an initial evaluation and reevaluation.

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03/11/25

Adding a New Diagnosis to an Existing Plan of Care

You are treating a patient for one condition (e.g., neck pain) and when they come in for a follow-up visit, they now present with a physician order for their right shoulder. What do you do? In this article, I will answer the following questions:

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03/01/25

Understanding Reevaluations, Progress Reports, Discharge Reports, and Medicare Certifications and Recertifications

This online course will teach participants what documentation is required in a reevaluation, progress report, and discharge report, when you can bill a reevaluation, the 2025 Medicare Part B certification and recertification requirements, and how one note can serve as a reevaluation, progress report, and a recertification.

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07/26/23

UnitedHealthcare Updates Outpatient Therapy Medical Policy: August 2023

UnitedHealthcare (UHC) has once again revised their Habilitation and Rehabilitation Therapy (Occupational, Physical and Speech) revised medical policy with an effective date of August 1, 2023. The revised policy impacts all UHC Commercial plans and UHC Oxford. The only revision to this revised policy compared to the July 1, 2023 revision is UHC has

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07/29/22

2023 Documentation for Evaluations and Reevaluations for PT, OT, and SLP

This 2-hour webinar will assist physical therapists, occupational therapists, and speech-language pathologists in understanding the required elements of documentation for an initial evaluation and reevaluation.

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