Is it true that Rehab Agencies must have a MSW review “ALL” patients for social and/or vocational needs?
A. Yes, that is absolutely a requirement. It has been in place for a number of years, but due to interpretation variances it has not be rigorously enforced until recent years. You may find this and other critical requirement in CMS’ State Operations Manual at this Link 2-16-06 Update: A direct and written quote from an authorized CMS representative (CMS/CMSO/SCG/DCCP) “There is nothing to preclude a physician from documenting in a patient’s medical record that social services are not indicated, at this time. (This then allows the agency to recommend social services anytime a need arises).” 5-16-07Q. Will you be generating any information about the Medicare’s new Quality Reporting Program (PQRI). If so when and when does this reporting go into effect.A. I will be providing my clients detailed ‘how to’s’ the second week of June. This will allow them to develop their screening tool as well as test the required modifier with their software vendor and Medicare contractor. The Quality Report
