How do we bill an evaluation code at the time a rehab procedure is performed and can we bill a re-evaluation less than 30 days?
Although some regulations and state practice acts require re-evaluation at specific intervals, for Medicare payment, re-evaluations must meet Medicare coverage guidelines. The decision to provide a re-evaluation shall be made by a clinician. Reference: Centers for Medicare and Medicaid Services (CMS) Publication 100-02, Chapter 15, Section 220 C Re-evaluations are not required; they are to be implemented when there is an indication for one. Indications for a re-evaluation include new clinical findings, a significant change in the patient’s condition, failure to respond to the therapeutic interventions outlined in the plan of care, or upon discharge.
