• June 16, 2015 at 9:44 am #30424

    I am an MDS coordinator and work in a Long Term Care facility, and deal with Medicare Part A and Part B. I have a question that I have not been able to find an answer in writing to.

    Are we REQUIRED to get new evals (new 700 forms filled out) when a resident changes payer sources, but will continue with therapy.

    E.G. A resident is covered by Medicare Part A getting PT, OT, ST, exhaust their 100 days but still require services. They also have Part B coverage, so we change the resident over to Part B, but will be continuing with the same programs for therapy. Are we required to get new evals at the time of the change, or can we continue with the evals from while the resident was Part A.

    In the past, we never had a problem NOT doing the new evals and just continuing with treatment, BUT we feel this may be the case NOW with the requirements for G-Codes, but can’t find anything that specifically says this is now the case.

    Thank you for any resources or rationale you can provide!

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