Ascension St John Hospital

Warren, MI, United States

Ascension St John Hospital

Warren, MI, United States
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Wilson C.M.,Oakland University | Wilson C.M.,Beaumont Hospital | Wilson C.M.,Hospice Palliative Care Special Interest Group of the Oncology Section of APTA | Boright L.,Ascension St John Hospital | Boright L.,Oakland University
Rehabilitation Oncology | Year: 2017

Recently, the Centers for Medicare & Medicaid Services (CMS) clarified that an expectation for functional or clinical improvement was not a requirement to receive payment for physical therapy services. This includes many life-threatening, chronic, or degenerative conditions. This clarification requires a different approach to clinical documentation and clinical decision-making. The onus rests on the physical therapist and the physical therapist assistant to clearly document medical necessity and that interventions required the skill of a physical therapist. Many other private insurance providers still require an expectation of clinical improvement to justify payment for physical therapy. © 2017 Oncology Section, APTA.

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