Bishan Depot is the central maintenance depot with train overhaul facilities,  while Changi Depot and Ulu Pandan Depot inspect and house trains overnight. Major operations were shifted to the main Gali Batu Depot inalthough the Kim Chuan Depot will continue to operate on a minor capacity.
Based on the assessment, the therapist will develop a plan of care, which includes details of treatment, estimated time frame for treatment, and anticipated results. At minimum, Medicare requires the POC to include: Medical diagnosis Long-term functional goals Type of services or interventions Quantity of services or interventions number of times per day the therapist provides treatment; if the therapist does not specify a quantity, Medicare will assume one treatment session per day Frequency of treatment number of times per week; do not use ranges Duration of treatment length of treatment; do not include ranges Please note that if a patient is receiving treatment in multiple disciplines PT, OT, SLPthen there must be a POC for each specialty, and each therapist must independently establish what impairment or dysfunction he or she is treating as well as the associated goals.
Furthermore, POCs require the dated signature of the referring licensed physician within 30 calendar days.
The therapist must update the patient file for every therapy visit. Daily notes include such details as: Documentation is required for every treatment day and every therapy service.
The Treatment Note is not required to document medical necessity or appropriateness of the ongoing therapy services.
Descriptions of skilled interventions should be included in the plan or progress note and are allowed, but not required daily. Therapists must complete this note type at minimum every tenth visit. However, there are times when progress is slower than initially anticipated.
When this occurs, therapists must document it and complete a recertification.
Medicare may require some additional documentation to verify that the patient truly needs the additional therapy. Medicare also requires recertification after 90 days of treatment.
For greater detail on documentation guidelines, please refer to this guide from the APTA as well as this slide deck from Kaiser Permanente. Click here to learn more about documentation requirements for speech language pathology.
For details on Medicare Part A therapy documentation requirements, click here. Authorization by Licensed Physician Medicare will not pay for physical therapy services unless the claim and documentation prove that a licensed physician has authorized the plan of care.
This authorization certifies that only a physical therapist can offer the type of care the patient needs. If the patient can do exercises at home on his or her own at no cost, Medicare will not cover physical therapy services.
That means that a therapist may perform—and bill for—an evaluation to determine whether therapy is medically necessary for that patient without involving a physician or other approved non-physician provider NPP.
However, once a therapist determines that therapy is, in fact, necessary, then that patient must be under the care of a physician or NPP. However, therapists should do so only if they are extremely confident that they can secure the necessary certification within the month.
Here are a few more tips to help ensure you get paid: Get a real or electronic signature and date—not a stamp. Recertify the plan of care within 90 days. It will also remind you to complete your recerts before time runs out.
Talk about a POC easy button. Maintaining Medicare compliance is no easy feat. Read on to learn about the most asked-about Medicare regulations. Use of Physical Therapy Assistants Physical therapists PTs are licensed providers in all states and physical therapist assistants PTAs are licensed providers in the majority of states.
Some state practice acts mandate more stringent supervision standards than Medicare laws and regulations.Nov 17, · About RCM Business. Skip navigation Sign in.
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Powerful reimbursement technologies and data assets help our clients and their patients. Revenue cycle management begins before a patient walks through the doors and ends when all payments are successfully collected. TransUnion Healthcare’s Revenue Protection SM solutions help identify opportunities to enhance patient access and post-service revenue recovery efforts.