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Optimizing Reimbursement: Weekly tools and tips

Rehab Regs, June 13, 2008

Treating therapists must be accurate in their billing and documentation. Each day after delivering treatment, therapists should check that:
• They adequately documented the services billed
• The services billed for were authorized on the plan of treatment

Daily documentation should prove that procedures and modalities were performed. However, it is not necessary to write a full assessment of the patient and justify the need for skilled services on a daily basis. It is sufficient to write a weekly summary that identifies the skilled interventions provided and the procedures and modalities that facilitated progress toward goals and to make a statement that justifies the continued need for therapy services to address the deficits identified upon evaluation and progress to the identified goals.

This tip for optimal reimbursement is from HCPro’s book The How-To Manual for Rehab Denials and Appeals: Navigating the Medicare Process.

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