On the outpatient therapy (Part B) side, CMS has issued transmittal 5, updating Chapter 15 of the Benefit Policy Manual, at http://www.cms.gov/manuals/pm_trans/R5BP.pdf This transmittal allows nonphysician practitioners to provide outpatient therapy certs/recerts and makes changes in the requirements for a face to face physician visit. "I. SUMMARY OF CHANGES: This transmittal clarifies the time period when a physician must evaluate the patient, corrects omission of non-physician practitioners and occupational therapy services, and includes Medicare enrollment policy requirements for physical therapists and occupational therapists in private practice."
But again, this is outpatient/Part B therapy. Details in transmittal-Caralyn ----- Original Message ----- From: <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Wednesday, January 14, 2004 6:42 PM Subject: Therapy cert > Our company deals with 2 different fi.They wanted to see the signed Dr's cert.Well the RNP was signing the cert.They denied claim as currently only physician can sign plan of care.Our NPs were also doing the initial physicals and first set of orders on our new admits.The head of the NP group found out that Dr must do all these initial orders.We have changed our policies until CMS decides to let the NPs'do some of these things > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
