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Change in Medicare recertification timeline

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I have a process/logistics question related to the change in CMS requirement for

re-certification to 90 days effective January 1, 2008.

How are folks managing this during the transition from the 30 to the 90 days?

For example, if a patient is seen for initial evaluation and has the initial

plan of care signed on December 28th 2007, is that good for 90 days since the 30

days would fall after January 1st? Using this logic, anyone seen after December

2nd would be on the 90 day time-frame. Or, is this only for new plans of care

dated after January 1st and any patient see prior to January 1st must have the

re-certification signed at 30 days. Any references anyone has from CMS as to how

to manage this would be most appreciated.

Mike Hampton, PT

Outpatient Therapy Manager

St. ph Hospital

Bellingham, WA

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