MLN Product (revised); Complying with Outpatient Rehabilitation Therapy Documentation Requirements
This revised product comprises Subregulatory Guidance for Outpatient Rehabilitation Therapy services and its content is based on publically available content within:
https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?stateRegion=all&contractorNumber=all&lcdStatus=all
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c12.pdf
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c12.pdf
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/ge101c05.pdf#page=13
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c03.pdf#page=44
CMS subject matter experts also reviewed/cleared this product.
This product informs Medicare physicians, providers, and suppliers on how to properly document and bill for Medicare Part B Outpatient Rehabilitation Therapy.
Medicare covers Outpatient rehabilitation therapy when a Physician or Non-Physician Practitioner (NPP) certifies the “treatment plan,” called the Plan of Care (POC), for patients that need therapy services. Outpatient rehabilitation therapy includes Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP) services
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 06, 2022
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.