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For the same patient within the same spell of illness, does the start of care date change with each recertification of the plan of care?

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For the same patient within the same spell of illness, does the start of care date change with each recertification of the plan of care?

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The start of care date is reported with occurrence codes 35, 44, or 45 depending on the services rendered. This date does not change with each recertification of the current plan of care.

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