Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC A physician or nonphysician practitioner organization, physician or nonphysician practitioner that does not comply with the reporting requirements specified in §424.516(d)(1)(ii) and (iii) of this subpart is assessed an overpayment back to the date of the final adverse action or change in practice location. Overpayments are processed in accordance with Part 405 Subpart C of this chapter. PART 485--CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS 48. The authority citation for part 485 continues to read as follows: Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395(hh)). Subpart B--Conditions of Participation: Comprehensive Outpatient Rehabilitation Facilities 49. Section 485.58 is amended by revising the introductory text and paragraphs (a)(1)(i) and (e)(2) to read as follows: §485.58 Condition of participation: Comprehensive rehabilitation program. The facility must provide a coordinated rehabilitation program that includes, at a minimum, physicians' services, physical therapy services, and social or psychological services. These services must be furnished by personnel 1148
CMS-1403-FC that meet the qualifications set forth in §485.70 and §484.4 of this chapter and must be consistent with the plan of treatment and the results of comprehensive patient assessments. (a) * * * (1) * * * (i) Provide, in accordance with accepted principles of medical practice, medical direction, medical care services, consultation, and medical supervision of nonphysician staff; * * * * * (e) * * * (2) Exceptions. Physical therapy, occupational therapy, and speech-language pathology services may be furnished away from the premises of the CORF including the individual’s home when payment is not otherwise made under Title XVIII of the Act. In addition, a single home environment evaluation is covered if there is a need to evaluate the potential impact of the home environment on the rehabilitation goals. The single home environment evaluation requires the presence of the patient and the physical therapist, occupational therapist, or speech-language pathologist, as appropriate. * * * * * 1149
- Page 1097 and 1098: CMS-1403-FC (1) Except as specified
- Page 1099 and 1100: CMS-1403-FC pressure, a visual acui
- Page 1101 and 1102: CMS-1403-FC (ii) A speech-language
- Page 1103 and 1104: CMS-1403-FC during the hours that t
- Page 1105 and 1106: CMS-1403-FC (i) Be certified as a n
- Page 1107 and 1108: CMS-1403-FC 14. Section 410.155 is
- Page 1109 and 1110: CMS-1403-FC prostate cancer screeni
- Page 1111 and 1112: CMS-1403-FC B. Amending the definit
- Page 1113 and 1114: CMS-1403-FC The revisions and addit
- Page 1115 and 1116: CMS-1403-FC or institution other th
- Page 1117 and 1118: CMS-1403-FC substantially all (whic
- Page 1119 and 1120: CMS-1403-FC psychiatric diagnostic
- Page 1121 and 1122: CMS-1403-FC repairing, maintaining,
- Page 1123 and 1124: CMS-1403-FC B. Deleting paragraph (
- Page 1125 and 1126: CMS-1403-FC during any period of me
- Page 1127 and 1128: CMS-1403-FC (c)(1). A. Revising the
- Page 1129 and 1130: CMS-1403-FC * * * * * (b) * * * (2)
- Page 1131 and 1132: CMS-1403-FC assigned to such drug p
- Page 1133 and 1134: CMS-1403-FC 33. In §415.130(d), th
- Page 1135 and 1136: CMS-1403-FC (6) An ambulance provid
- Page 1137 and 1138: CMS-1403-FC §424.57 Special paymen
- Page 1139 and 1140: CMS-1403-FC Final adverse action me
- Page 1141 and 1142: CMS-1403-FC (b) Reporting requireme
- Page 1143 and 1144: CMS-1403-FC of Medicare billing pri
- Page 1145 and 1146: CMS-1403-FC (a) Physicians, nonphys
- Page 1147: CMS-1403-FC * * * * * (g) Effective
- Page 1151 and 1152: CMS-1403-FC (3) Have equivalent tra
- Page 1153 and 1154: CMS-1403-FC §485.711 Condition of
- Page 1155 and 1156: CMS-1403-FC Subpart C--Conditions f
- Page 1157 and 1158: CMS-1403-FC Authority: Catalog of F
- Page 1159 and 1160: CMS-1403-FC Addendum B means that C
- Page 1161 and 1162: CMS-1403-FC which they are incident
- Page 1163 and 1164: CMS-1403-FC T = There are RVUs for
- Page 1165 and 1166: CMS-1403-FC ADDENDUM B: Relative Va
- Page 1167 and 1168: CMS-1403-FC Physi- cian Work Fully
- Page 1169 and 1170: CMS-1403-FC Physi- cian Work Fully
- Page 1171 and 1172: CMS-1403-FC Physi- cian Work Fully
- Page 1173 and 1174: CMS-1403-FC Physi- cian Work Fully
- Page 1175 and 1176: CMS-1403-FC Physi- cian Work Fully
- Page 1177 and 1178: CMS-1403-FC Physi- cian Work Fully
- Page 1179 and 1180: CMS-1403-FC Physi- cian Work Fully
- Page 1181 and 1182: CMS-1403-FC Physi- cian Work Fully
- Page 1183 and 1184: CMS-1403-FC Physi- cian Work Fully
- Page 1185 and 1186: CMS-1403-FC Physi- cian Work Fully
- Page 1187 and 1188: CMS-1403-FC Physi- cian Work Fully
- Page 1189 and 1190: CMS-1403-FC Physi- cian Work Fully
- Page 1191 and 1192: CMS-1403-FC Physi- cian Work Fully
- Page 1193 and 1194: CMS-1403-FC Physi- cian Work Fully
- Page 1195 and 1196: CMS-1403-FC Physi- cian Work Fully
- Page 1197 and 1198: CMS-1403-FC Physi- cian Work Fully
<strong>CMS</strong>-1403-FC<br />
that meet the qualifications set forth in §485.70 and<br />
§484.4 of this chapter and must be consistent with the plan<br />
of treatment and the results of comprehensive patient<br />
assessments.<br />
(a) * * *<br />
(1) * * *<br />
(i) Provide, in accordance with accepted principles of<br />
medical practice, medical direction, medical care services,<br />
consultation, and medical supervision of nonphysician<br />
staff;<br />
* * * * *<br />
(e) * * *<br />
(2) Exceptions. Physical therapy, occupational<br />
therapy, and speech-language pathology services may be<br />
furnished away from the premises of the CORF including the<br />
individual’s home when payment is not otherwise made under<br />
Title XVIII of the Act. In addition, a single home<br />
environment evaluation is covered if there is a need to<br />
evaluate the potential impact of the home environment on<br />
the rehabilitation goals. The single home environment<br />
evaluation requires the presence of the patient and the<br />
physical therapist, occupational therapist, or<br />
speech-language pathologist, as appropriate.<br />
* * * * *<br />
1149