Delayed Progress Reports

Progress/Supervisory Visits have two requirements:

• A progress/supervisory visit is to be done on or before every 10th treatment session (8 therapy-only visits).

• When services are provided offsite by a PTA/COTA, there is to be a supervisory visit done every 30 calendar days.
  

If there is a delay in meeting either one of these requirements, here are the guidelines from the Medicare Benefit Policy Manual.

• An Interim Report must be written if the patient has received more than 8 therapy-only visits.

• If the patient has received < 8 therapy visits but has not been seen in > 30 days, an interim report is not needed. Document the reason for the delay in your next report.
  

See the details below. Click to expand each section.

It has been > 8 therapy-only visits since the last Progress/Supervisory Visit was done...

• Write an interim report that explains the reason for the missed visit and documents what guidance you have provided to the assistant and the therapy plan of care.

• Schedule a face-to-face supervisory visit with the patient within 7 days.

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It has been > 30 days since the last Progress/Supervisory Visit but the patient has received < 8 therapy visits.

• Schedule the Progress/Supervisory Visit before the 8 visits are reached.

• Document the reason for the delay in your report.

• An interim report will not be needed.

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It has been more than 30 days since the last supervisory visit AND the patient has received more than 8 "therapy only" visits.

• Therapy visits are not billable and LifeCare may withhold pay for nonbillable visits;

• Complete an interim report to document the reason(s) for the delay;

• Schedule to see the patient within 7 days.

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