medicare certification period

[Guest guest]

I am still confused.... does the 90 day certification period apply only to

outpatient therapy and CORF's? Only to Part B Medicare (outpatient and in SNF) ,

or to all Medicare A and B. I work in an SNF, primarily with Part A we now do

certifications and recertification's every 30 days. Will this change to every 90

days? Thank you for any clarification you can provide.

Noreen V , PT Director of Rehab Services

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difference.

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[Guest guest]

Noreen,

The 90 certification period is for therapy services

reimbursed under Part B Medicare benefits. This is for

outpatient therapy services provided in all settings.

Under SNF Part A, it is the physician that certifies

and re-certifies for all services that the patient

requires in a covered Part A stay. The timeframe for

the physicians initial certification is as soon as

possible upon admission. The first recertification

must occur within 14 days and then subsequent

recertifications must be made at intervals not

exceeding 30 days.

Read Section 40.2 and 40.4 of the link below.

http://www.cms.hhs.gov/manuals/downloads/ge101c04.pdf

It is not required that therapists have the physician

sign a separate a plan of care in addition to the plan

of care that the physician develops that includes all

servcies provided. For the reference to the above

statement, please read the bottom of page 112 and top

of page 113 on the link below.

http://a257.g.akamaitech.net/7/257/2422/01jan20071800/edocket.access.gpo.gov/200\

7/pdf/07-5506.pdf

Rick Gawenda, PT

President, Section on Health Policy & Administration

APTA

--- Noreen V wrote:

> I am still confused.... does the 90 day

> certification period apply only to outpatient

> therapy and CORF's? Only to Part B Medicare

> (outpatient and in SNF) , or to all Medicare A and

> B. I work in an SNF, primarily with Part A we now do

> certifications and recertification's every 30 days.

> Will this change to every 90 days? Thank you for

> any clarification you can provide.

> Noreen V , PT

> Director of Rehab Services

>

>

_________________________________________________________________

> i’m is proud to present Cause Effect, a series about

> real people making a difference.

>

http://im.live.com/Messenger/IM/MTV/?source=text_Cause_Effect

>

> [Non-text portions of this message have been

> removed]

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