Who Can Sign a Medicare Therapy Plan of Care

May 1, 2017
Rick Gawenda

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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    1. Under Medicare Part B therapy rules and regulations, dentists can’t certify or recertify a therapy plan of care.

  1. 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.

    1. 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?

  2. 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

    1. I have updated the article and provided a reference from CMS. If you continue to have questions, I would recommend you contact APTA.

  3. Hi Rick,

    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.

    1. CMS does not address that in the therapy rules and regulations regarding certifications and recertifications.