Typically, yes an eval must be redone, because Med A
will need it if the chart were reviewed. So we always start the paperwork,
including the evaluation, over again for a new payment source. If your
chart were reviewed Med A would not look at the eval done for Med B. However,
there has been some mention of particular FI's watching this issue of a new eval
in switching between A and B so I would refer you to the provider relations or
medical review team of your FI. There is nothing I have found in the SNF manual
on coverage or in the medical review chapter of the Program Integrity Manual
(Chp 6) directly on this issue.
-----Original Message----- From: Brenda Chance
[mailto:[EMAIL PROTECTED] Sent: Tuesday, November 11, 2003
4:54 PM To: [EMAIL PROTECTED] Subject: Therapy
evals
Rena or Ron,
I have a resident that went from part b therapy to
part a therapy. OT had only seen this resident one day under part b and
the family decided to move her to a certified bed for part a services.
OT did an eval under part b. There has been no significant change
in the resident between day eval done and her moving to part a services next
day. Does another eval have to be done for part a services? Please
include source document with answer.
Thanks!
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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