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Do Medicare Advantage Plans Require Signed Plans of Care?

QuestionI know traditional Medicare requires a dated signature of the physician or nonphysician practitioner (NPP) whom the Medicare beneficiary is under their care while receiving outpatient physical, occupational and/or speech therapy services. Does this same requirement apply to Medicare Advantage plans whose beneficiaries are receiving outpatient physical, occupational and/or speech therapy services? Answer

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Identifying the Certifying Physician(s) on a Claim Form

I am often asked by providers of outpatient therapy services how to identify who the certifying physician/non-physician practitioner (NPP) or physicians/NPPs are on the claim form. The answer depends on whether you are a private practice submitting claims on the paper 1500 claim form or the electronic equivalent (i.e. 837P) or you are an institutional provider (i.e. skilled nursing facility, rehabilitation agency, CORF, or hospital outpatient department) submitting claims on the UB-04 electronic claim form (837I). In this article, I will provide the answers to the above including how to identify multiple physicians/NPPs on the claim form when one physician/NPP

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Noridian to Host Free Outpatient Therapy Webinar

Noridian Healthcare Solutions will be hosting a free 30-minute webinar on May 21, 2019 at 1:00pm CT to discuss outpatient therapy certifications and recertifications. The webinar will include: Overview What is a Certification When to recertify Signatures Common Errors Resources For additional information and to register, click HERE.

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