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Therapy & Rehabilitation
Documentation and billing considerations for occupational therapy, physical therapy, pelvic health, and speech-language pathology.
The Medicare Therapy Certification Exception Still Needs Proof
Medicare's initial therapy certification exception needs a qualifying referral and proof the plan was sent within 30 days. Build a reliable PT workflow.
Rachael Lara
Oct 122 min read
A Home Visit and Telehealth From Home Are Different Claims
OT home visits and telehealth from home use different place-of-service definitions. Align appointment types, encounter notes, and payer instructions.
Rachael Lara
Oct 122 min read
A Speech Device Request Needs More Than a Product Name
Learn what Medicare requires in a speech-generating device evaluation and how SLP practices can coordinate the evaluation, order, and equipment request.
Rachael Lara
Oct 122 min read
Pelvic Health PT Goals Should Describe the Life the Patient Wants Back
A symptom score needs context A pelvic health physical therapy record may describe pain, weakness, or another impairment accurately while still leaving out the patient’s reason for seeking care. What daily activity has become difficult? What does the patient hope to do again? APTA recommends functional, measurable goals developed with the patient and explains that goals should connect impairments with activity limitations and participation. That principle is especially useful
Rachael Lara
Oct 52 min read
An Occupational Therapy Note Should Explain the Skill Behind the Activity
The activity is only part of the encounter A child practiced dressing. An adult prepared a simple meal. A patient worked through a sequence of daily tasks. Each description tells a reviewer what the patient did, but very little about the occupational therapist’s contribution. AOTA describes documentation as a record of the services provided and the practitioner’s clinical reasoning. Its documentation resources emphasize making the value of occupational therapy understandable.
Rachael Lara
Oct 52 min read
Longer Feeding Therapy Does Not Automatically Mean More Billing Units
The code determines how units work A feeding treatment lasts an hour instead of half an hour. The clinician provided more care, but the billing team cannot assume the claim should contain twice as many units. The first question is whether the reported service uses a timed or untimed code. ASHA identifies 92526, used for swallowing and oral function treatment for feeding, as an untimed service reported once per date of service regardless of the total treatment time. Applying a
Rachael Lara
Oct 52 min read
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