Major improvement or decline require a follow-up assessment

Question: Let’s say that I did a recert on 4/11/2011 and then the patient had an outpatient mastectomy 4/12/2011.  I went to see her on 4/13/2011, which was the first day of her recert. Would this visit be considered a SCIC or can we do as a regular visit and a telephone order for the orders of the mastectomy care?

Lisa says: A follow-up assessment is required for a major improvement or decline in condition, but your policy defines  major improvement or decline. You must complete another follow-up assessment if the circumstances meet your policy. 

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