Page 18 - Rehab 2020
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4. Patient with Medicare must be home bound:
a. Patient leaves the home infrequently with “considerable and taxing” effort.
b. Patient may leave home for religious services.
c. Patient may leave home for adult day care program.
d. Patient may leave home for medical care.
e. Patient may leave home for beautician and appointments.
5. Presence of a physical or cognitive problem.
6. Patient must demonstrate Rehabilitation potential, i.e., the ability to benefit from a
Rehabilitation program provided within the home setting.
MANAGED CARE
1. Prior approval is needed before any visits are made. The system will not allow any
appointments to be scheduled or visits made if there is no authorization.
2. Managed Care requests will be done by the office based on your documentation.
3. An accurate and complete visit note is instrumental to generate a thorough request.
4. You can view the insurance information and any authorized visits in the Medical Records,
under demographics, and payor source.
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