RE: MED A V/S MED B CERTIFICATION

[Guest guest]

Hello Sam,

The difference between Med A and B is that the certification requirement for

Part A is done by the facility for the total care the patient requires for

the stay. It is done on admission, then by day 14 and then every 30 days

after that. The therapy plan is not " certified " as it is in Part B but the

physician reviews and approved the plan for the duration of the plan. So if

the plan is for 6 weeks, that's how long the plan is approved for. If the

patient needs further care, that procedure is covered under the facilities

own P & P. Some will get a telephone order to continue for 1 or 2 more weeks

depending on the reason for not meeting the goals in that time frame, others

will perform an updated POC and submit for approval.

CMS has never had written guidelines for documentation per se for SNF Part

A.

Part B's certification is for the longest time frame identified by the

frequency & duration, but no more than 90 days. So if the plan is 3xw for 6

weeks, it is either 6 weeks or 18 visits before an updated POC needs to be

done for recertification.

Hope that clears things up a bit.

Regards,

ine

ine M. o, PT, CEEAA

Owner

Encompass Consulting & Education, LLC

8114 NW 100th Terrace, Tamarac, FL 33321-1259

We work hard to make sure you are " getting it right from the start " . Visit

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From: PTManager [mailto:PTManager ] On Behalf

Of SG

Sent: Tuesday, June 26, 2012 10:01 PM

To: PTManager

Subject: MED A V/S MED B CERTIFICATION

Dear List Members, there is so much confusion in my workplace about Medicare

A and Medicare B Certification periods for PT, OT, SLP. My understanding has

been that Med A have to be Certified every 30 days and Med B every 90 days.

I contacted APTA, CMS and " nobody " has a FINAL answer, nor a Regulation that

I could print and present as the Law.

Please enlighten me about it!

Thanks in advance!

SAM MILLER, PT

Brooklyn Memorial Retirement Center

New York, NY