Last week, I wrote and article titled “Delayed Certification under Medicare Part B Therapy Services” where I discussed the 2 types of delayed certification. This week, I want to talk about who can certify and recertify a plan of care for outpatient therapy services under the Medicare Part B program.
Under Medicare Part B, the following professionals are allowed to certify and recertify for outpatient therapy services:
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Dentists(DDS)sometimes refer for TMD. They are not included on this list?
Under Medicare Part B therapy rules and regulations, dentists can’t certify or recertify a therapy plan of care.
Can Chiropractors sign POCs?
Please read the article for the answer to your question.
What about oral & maxillofacial surgeons referring to therapy under Medicare Part B?
You would have to see what their degree is. Some have a MD.
Rick, do you know why Medicare would deny paying on 95992 when referred by a PaC? We’ve had this issue several times w/ the same referrer.
You would need to look at the denial reason code on the explanation of benefits (EOB) or electronic remittance advice (ERA). Is the referring provider a Physician Assistant?
Do the physicians and NPPs have to be Medicare providers themselves or not? I sent you an email yesterday regarding this. The APTA said to us that they don’t need to be MCR providers. Is that true?
Thanks. Elisabeth Rimann
I have updated the article and provided a reference from CMS. If you continue to have questions, I would recommend you contact APTA.
I am wondering if the certifying signature can be electronic or stamped, or must it be a physically signed by the certifying practitioner? Thank You.
CMS accepts electronic signatures, but not stamped signatures.
May a self referred physician sign his own POC?
CMS does not address that in the therapy rules and regulations regarding certifications and recertifications.
What is the timeframe for which a Part A plan of care must be certified?
Exactly what setting are you asking about?