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Get Bulletproof Physical Therapy Charts and Notes
Build your Medicare Compliance Plan with these free resources.

*****   Medicare Benefit Policy, Transmittal 88 (pdf) - 07 May 2008
The latest update to the Medicare Manuals for Physical Therapy outpatient Part B.  Extends the re-certification period to 90 days.

NOTE: Transmittal 88 makes no change to the basic requirements for a fully compliant Physical Therapy chart with Medicare Long Term Goals, which are to...

  1. Demonstrate Medical Necessity for Physical Therapy
  2. Demonstrate Skilled Physical Therapy
  3. Demonstrate Expected improvement in a reasonable time frame

Get a Bulletproof Physical Therapy Chart by meeting these basic requirements - not by memorizing dense bureaucratic text.

Train your staff to take simple measurements that will begin the process...

*****  Office of the Inspector General Compliance Program for Small Group Physician's (pdf) - The Office of the Inspector General (OIG) position statement on the ideal Medicare compliance program.

This document suggests that several steps, such as education and oversight, will contribute to improved compliance while maintaining high clinical standards.

Medicare Benefit Policy, Transmittal 63 (pdf) - 29 Dec. 2006

The description of ...
  • Medical Necessity
  • Skilled Therapy Services and
  • Significant Expected Improvement
...are contained here.

Also the Medicare Cap Exceptions Process and much more valuable information.
Medicare Claims Processing Manual (pdf) - 29 Dec. 2006
Clarifies the Exception Process to the Medicare caps.

Medicare Program Integrity Manual (pdf) - 29 Dec. 2006
Clarifies the Exception Process to the Medicare caps.

Florida Audit: August 2007 - Office of the Inspector GeneralThis document tells the story of a Physical Therapist with five outpatient clinics in Florida who was audited and had to pay a fine in excess of $440,000

Medicare Billing Scenarios
Learn how to...

  • properly bill the Group Code
  • bill intermittent one-on-one physical therapy...

*****  Indicates the minimum requirements for a basic Medicare compliance program