Common Outpatient Rehabilitation Therapy CERT Errors
Billing Part B Outpatient Therapy Services Outpatient rehabilitation therapy includes Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP) services. Medicare covers outpatient PT, OT, and SLP services when: A physician or Non-Physician Practitioner (NPP) certifies the “treatment plan,” called the Plan of Care (POC), ensuring: A patient needs therapy services POC is: Established by a physician, NPP, our qualified therapist provides services Reviewed periodically by a physician or NPP A patient gets services under physician care POC certifying the provider’s name and NPI is on the claim Providers meet medical necessity, documentation, and coding requirements where, CERT: Comprehensive Error Rate Testing A physician is a Doctor of Medicine, osteopathy, podiatric medicine, and optometry (only for low vision rehabilitation). NPP includes a Physician Assistant (PA), Clinical Nurse Specialist (CNS), or Nurse Practitioner (NP).