- Outpatient Occupational and Physical Therapy Services Billing Guide
- Introduction to Outpatient OT and PT Services
- Outpatient Occupational and Physical Therapy Coverage
- Caregiver Training Services
- KX Modifier Threshold
- 2024 Annual Update to the Therapy Code List: Remote Therapeutic Monitoring
- Annual Update to the Therapy Code List
- Targeted Medical Review
- Functional Reporting - Using the G Codes
- What is the Advance Beneficiary Notice of Noncoverage and When to Use It in Outpatient Therapy
- Maintenance Programs
- Multiple Procedure Payment Reduction
- The National Correct Coding Initiative
- Comprehensive Error Rate Testing Program
- Recovery Auditor
- Common Billing Errors and Remittance Message
- Medical Review Therapy Documentation Checklist for Additional Development Request Letters
- Common Questions and Answers
- Related Content
- Related Articles
Medical Review Therapy Documentation Checklist for Additional Development Request Letters
Refer to the checklist below when preparing your documentation in response to an ADR:
- Doctor’s orders
- Certifications/recertifications
- Initial evaluations
- Any reevaluations and documentation of medical necessity for reevaluations
- Any pertinent diagnostic testing and results
- Therapists’ notes for dates of service
- Logs/treatment records/encounter sheets indicating: date, time, type and duration to support units billed
- Plans of treatment, goals, and progress towards goals
- Progress notes since onset of therapy
- Any abbreviation keys or acronym keys used
- Copies of any patient notices given (e.g., ABN)
- Documentation to support level of supervision requirements met if applicable
- Documentation to support any other services billed in conjunction with therapy services
- Documentation of practitioner’s credentials
Reviewed 11/2/2023