Tracking Medicare Therapy Visits

by Michelle

I understand that all documentation of this discussion says the PT/OT must do their reassessment on visit 13 if one discipline or 12 & 13 if two disciplines are in.

If you know anything about the reimbursement tiers of Medicare visit # 13 and # 19 are where you bump up to the next payment level.

Therefore wouldn't medicare want those assessment visits done BEFORE visit 13 and not ON visit 13 so they don't have to pay that next tier?

I want to use visit 12 to track and my administrator says it has to be ON # 13. Someone please help clarify this and possibly attach documentation of where clarification can be found.

Thank you!

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