Does the date of the return visit to the referring physician need to be entered on the claim form?
Effective June 6, 2005, providers are no longer required to report the name of the referring physician, the date of the first physical therapy evaluation, or the date of the re-certification on the claim form. This information, however, must be documented in the patient’s medical record and must be medically necessary. Date Posted: 10/17/2005, Date Reviewed/Revised: 12/14/2009 Go to Top • Local Coverage Determination (LCD) Y-1 indicates that the plan of care shall contain, at a minimum diagnoses, long term treatment goals, and type, amount, duration and frequency of therapy services. What is meant by type, amount, duration and frequency of therapy services? Per LCD L27513, the plan of care indicates anticipated goals and specifies the type, amount, duration, and frequency of therapy services. The amount, frequency, and duration of the physical therapy services must be documented in the medical record and must be reasonable and necessary. The plan of care must indicate the type of thera
Related Questions
- Will MagnaCare require furnishing the NPI of Referring Physician on claim or will Referring Physician name continue to suffice?
- Does the date of the return visit to the referring physician need to be entered on the claim form?
- What IRS tax form should be used to claim the yearly HCTC on a federal income tax return?
