CMS is watching for visits after late reassessments

The Centers for Medicare and Medicaid has clarified in a new set of therapy Q&As that you shouldn’t schedule additional therapy visits to make up for non-billable ones.

CMS states that HHAs “should not change the number of therapy visits a patient receives based on whether prior visits were Medicare-covered or not; and … patients should only receive the number of therapy visits called for in the patient’s plan of care.”  Other clarifications from CMS include:

  1. Count the day after each assessment as day 1 of the 30-day count. CMS had previously said that each reassessment resets the 30-day clock, but these Q&As clarify that the day after the reassessment is counted as day 1.
  2. CMS will not prescribe specific standardized assessment tools. The agency encourages therapists to look at their associations for appropriate tools.
  3. The 30-day requirement doesn’t negate the 13/19 requirement. If a therapist performs a reassessment just before the 13th visit to comply with the 30-day rule, the 13th visit reassessment still must be performed, CMS notes.

See all the Q&As

 

 

Leave a Reply

%d bloggers like this: