Guest guest Posted September 11, 2008 Report Share Posted September 11, 2008 We combine our progress note with a request for recert so I would say yes. At the top of the form are boxes that indicate that the form fills multiple functions : 10 vitis/monthly summary/ recertification/ dicharge. There is a place for physician signatures on the same form. Marcy Stalvey, PT, NCS Edwin Shaw Rehab >>> nwlrehab@... 09/11/08 04:40PM >>> How are OP facilities handling the following scenario? You start a patient under a POC that is for 90 days. A progress note is completed at 30 days and 60 days per Medicare requirement of progress note 10 visits or 30 days, whichever is first. Now you have a POC due at 90 days if the patient is continuing therapy. Does the updated POC take the place of the progress note at 90 days or are both required at 90 days? Thanks for your input. Debbie Director of Rehab Northwoods Lodge Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2008 Report Share Posted September 11, 2008 Debbie- Because we have several FIs for the clinics in our company & not all have embraced a 90 day cert period, we have chosen to continue with a 30 day cert period for all clinics. Regardless, in the situation you describe I believe that the 90 day cert takes the place of the progress note as long as your visits match up (i.e. if you have seen the pt for more than 10 visits between the previous progress note & day 90, you would have to do a progress note at the 10th visit & a cert at 90 days). This is no different than if you were doing a 30 day cert period & had seen the patient for 10 visits within that timeframe. The only time you need to do a progress note sooner than 30 days is when your visit frequency is 3x/wk or more. Hope this helps.... Fleener, MSPT Director of Therapy Operations Northern Colorado Rehabilitation Hospital _____ From: PTManager [mailto:PTManager ] On Behalf Of Debbie , Director of Rehab Sent: Thursday, September 11, 2008 2:41 PM To: PTManager Subject: progress notes How are OP facilities handling the following scenario? You start a patient under a POC that is for 90 days. A progress note is completed at 30 days and 60 days per Medicare requirement of progress note 10 visits or 30 days, whichever is first. Now you have a POC due at 90 days if the patient is continuing therapy. Does the updated POC take the place of the progress note at 90 days or are both required at 90 days? Thanks for your input. Debbie Director of Rehab Northwoods Lodge Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2008 Report Share Posted September 12, 2008 I'm confused, with MC in OP. a progress note need be written how often if you are seeing he pt 2x/wk. and I mean progress note in chart not progress note to MD for re cert. could a weekly note be done? or is daily (as we do) still the way to go? Mark Niles PT, MS, CSCS Orthopedic Specialists PA mniles@... x3 fax This message, together with any attachments, is intended only for the addressee. It may contain information which is legally privileged, confidential and exempt from disclosure. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, use, or any action or reliance on this communication is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by telephone ( x3) or by return e-mail and delete the message, along with any attachments Re: progress notes We combine our progress note with a request for recert so I would say yes. At the top of the form are boxes that indicate that the form fills multiple functions : 10 vitis/monthly summary/ recertification/ dicharge. There is a place for physician signatures on the same form. Marcy Stalvey, PT, NCS Edwin Shaw Rehab >>> nwlrehab@... 09/11/08 04:40PM >>> How are OP facilities handling the following scenario? You start a patient under a POC that is for 90 days. A progress note is completed at 30 days and 60 days per Medicare requirement of progress note 10 visits or 30 days, whichever is first. Now you have a POC due at 90 days if the patient is continuing therapy. Does the updated POC take the place of the progress note at 90 days or are both required at 90 days? Thanks for your input. Debbie Director of Rehab Northwoods Lodge Quote Link to comment Share on other sites More sharing options...
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