271.2
Outpatient Must be Under the Care of a Physician.--Outpatient
physical therapy, occupational therapy, or speech pathology services must be
furnished to an individual who is under the care of a physician. There must be evidence in the patient's
clinical record that a physician has seen him at least every 30 days. If the record does not reflect this, you
are responsible for contacting the physician to determine whether this
requirement is met. The physician
may be the patient's private physician, a physician on your staff, a physician
associated with an institution which is the patient's residence, or a physician
associated with a medical facility in which the patient is an inpatient. The attending physician establishes or
reviews the plan of treatment and also makes the necessary certifications. A plan of treatment may be established
by either the physician or the qualified physical therapist, occupational
therapist, or speech pathologist who will be providing such services. However, the physician still must make
the necessary certifications. (See §§220 and 271.1.)
220.3.2 - Outpatient Must be Under Care of Physician
(Rev. 1, 10-01-03)
B3-2206.2, A3-3148.2, HO-242.2
Outpatient physical therapy, occupational therapy, or speech-language pathology services must be furnished to an individual who is under the care of a physician. There must be evidence in the facility’s record of the patient that a physician has seen the patient at least every 30 days. If the physician has not seen the patient within a 30-day period, the facility is responsible for contacting the physician. This physician may be the patient’s private physician, or a physician on the staff of the clinic, or a physician associated with an institution that is the patient’s residence, or a physician associated with a medical facility in which the patient is an inpatient. The attending physician establishes or reviews the plan of treatment and also makes the necessary certifications. A plan of treatment for outpatient speech-language pathology, occupational therapy, or physical therapy services may be established by either the physician or the speech-language pathologist, occupational therapist, or qualified physical therapist providing such services. However, the physician still makes the necessary certifications. (See §§220.3.1, 220.3.3, and 220.3.4.)
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Linda Budde
Sent: Wednesday, December 17, 2003 3:22 PM
To: [EMAIL PROTECTED]
Subject: Where find written- ST needs MD visitCan anyone tell me where to find (if there is one...) the regulation where anyone needing speech therapy must be physically seen by the physician within 30 days prior to the eval? My DON is looking for it. Thanks.Linda
Linda Budde, RN
Reimbursements
Friendly Acres, Inc.
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