Occupational therapy billing, coding and documentation ...
Occupational therapy billing , coding and documentationrequirementsLaurie LatvisDirector, Provider Outreach Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield , 12V13 PMPage 1 of 40Documentation requirements Identifyinginformation The following must be documented in the patient s medical record whenoccupational therapy is provided: Patient s name and address Patient s contract number (including prefix) and group number Patient s date of birth Facility s name and address (if applicable) Facility case number (if applicable) Location where services are provided Attending physician s name, address and phone number DiagnosisBlue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield , 12V13 PMPage 2 of 40Documentation requirements orders
billing, coding and documentation requirements Laurie Latvis ... • Initial involvement – physician’s role - When occupational therapy is provided in a physician’s office the physician must document the medical necessity for those services in the patient medical record.
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