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August 18, 2011

Outpatient Rehabilitation Therapy Services Reminders

Errors identified through the CERT review process:

Plan of Care, at a minimum, should contain

The Plan of Care should provide for treatment in the most effective and efficient manner for the best achievable outcome.

Avoiding CERT Errors


CMS Internet-Only Manuals (IOM):

Definitions related to Therapy Services:  CMS IOM, Pub 100-2, Chapter 15, Section 220
Plan of Care/Treatment Plan:  CMS IOM, Pub 100-2, Chapter 15, Section 220.1.2
Certification/Recertification:  CMS IOM, Pub 100-2, Chapter 15, Section 220.1.3

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