Learning Objectives
- Explain the purpose of documentation
- Define assessment, clinician, episode, evaluation, and interval based on CMS definitions
- Identify the required components of documentation
- List the requirements for a Clinician and Assistant’s Progress Reports and Treatment Encounter Notes
- Identify the criteria for performing and documenting an evaluation and re-evaluation and the components of Medicare discharge documentation
- Discuss the top reasons Medicare claims are denied
- Describe the new Medicare claims appeal process.
- Describe the PT and PTA conference requirements in Texas.
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