Do I always bill for a re-evaluation for Part B when I am discharging?
Answer
No. You do not have to. The re-eval code needs some requirements met when billing with it. Re-eval would be appropriate when you truly are re-evaluating. Perhaps there has been a change in condition, function, long-term goals, your treatment plan, or something has come up that requires you to re-evaluate this patient. Just because you are doing a discharge summary or an updated plan of care or 701, does not mean that you would bill a re-eval. To that point, there was a time period in our therapy history when that is exactly what we would have done. If you go back to the LCD for your MAC, it will probably spell out very specifically what they want to see to justify the re-eval.
Kathleen D. Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS
In her 30+ years of practice, Dr. Kathleen Weissberg has worked in rehabilitation and long-term care as an executive, researcher, and educator. She has established numerous programs in nursing facilities; authored peer-reviewed publications on topics such as low vision, dementia quality care, and wellness; and has spoken at national and international conferences. She provides continuing education support to over 40,000 individuals nationwide as National Director of Education for Select Rehabilitation. She is a Certified Dementia Care Practitioner, a Certified Montessori Dementia Care Practitioner, and a Certified Fall Prevention Specialist. She serves as the Region 1 Director for the American Occupational Therapy Association Political Action Committee and adjunct professor at Gannon University in Erie, PA.
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