Physicians signing off on PT notes for Medicare documentation
Karl Entenmann
Description
Collection
Title:
Physicians signing off on PT notes for Medicare documentation
Creator:
Karl Entenmann
Date:
6/15/2021
Text:
Hello dear colleagues,We have been told that Physical Therapy notes are valid for clinical documentation for Medicare as long as the ordering physician signs off on those clinical notes. We have recently had 2 Performant RAC audits for Medicare beneficiaries, one from 2019 and one from 2020, that were both reevaluated and denied post payment stating that the documentation provided did not include medical records for review, and, that since documentation from the treating physician was not provided for review, it could not be determined that the beneficiary could not be fit with a prefabricated device; or, there was a need to control the knee, ankle or foot in more than one plane: etc. And, although supplier records were provided, it could not be determined if the records corroborate documentation in the physician's records to support the need for custom fabrication, since documentation from the treating physician was not provided for review.
We did supply both Orthotist and Physical Therapist clinical notes, and the PT notes were cosigned by the Physician, all prior to providing the services. Are we wrong in assuming that cosigned PT notes are adequate clinical documentation to support the need for a device and for a custom fabricated device, even when specifically addressed in those notes? One patient was in an SNF and the other was seen in an Out Patient Physical Therapy Clinic.
I would appreciate to hear what the O and P community has been doing in these cases. Thank you.
Karl Entenmann, CPOPreferred O and PTacoma WA
We did supply both Orthotist and Physical Therapist clinical notes, and the PT notes were cosigned by the Physician, all prior to providing the services. Are we wrong in assuming that cosigned PT notes are adequate clinical documentation to support the need for a device and for a custom fabricated device, even when specifically addressed in those notes? One patient was in an SNF and the other was seen in an Out Patient Physical Therapy Clinic.
I would appreciate to hear what the O and P community has been doing in these cases. Thank you.
Karl Entenmann, CPOPreferred O and PTacoma WA
Citation
Karl Entenmann, “Physicians signing off on PT notes for Medicare documentation,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/255448.