Debbie,
Medicare requires that a physician certifies the plan of care prior to the
initiation of treatment activities. Most SNFs ensure compliance with this by
having a clarification order in the chart.  It is done because it frequently
takes so much time to get the HCFA 700 form signed by the physician. 
Jimmie

-----Original Message-----
From: Hidu, Debbie [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, July 09, 2003 10:52 AM
To: '[EMAIL PROTECTED]'
Subject: [OTlist] "clarifying orders" for SNF rehab


Ok so a patient is admitted to the SNF unit with orders for PT and OT 5-7
days a week.
The evaluation is done and the therapist now has to call the MD and
"clarify" that OT (or PT) will be seeing the patient 5-7x/wk for the
following problems using the following approaches.
then a "clarifying order" has to go in the chart stating this and be signed
by the doctor (resulting in two therapy orders now in the chart).  This is a
new practice where I work (US state of Maine)and I was wondering if anyone
knows the origin/purpose/whether this is reall necessary....etc.  can anyone
shed any light on this?


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