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Use of RL Category

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One of my facilities is pushing toward using the RL category more frequently. In the " tapering down " on a patient from RU, RV, RH, to RL, my understanding is that in the RL category, they are to receive at least 45 minutes of direct therapy in a week? My question is, doesn't the treatment needs to be direct patient treatment, as in with a therapist, or can it be billed as restorative training time, or either? Also is not the use of all treatment time upon the discretion of the therapist and physician? I am concern that influences on how treatment time should be spent is getting influenced by non-rehab personnel.

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