Answered by Elina Sabilova, Billing Department supervisor:
Recently, one of our clients, a physical therapist, has treated a patient who had been recovering from a fracture. At some point of the treatment course, the patient had decided to stop the treatment amid fears of coming to the doctor’s office (they did not want to risk getting sick with COVID-19). Two weeks after the discharge, the patient called our client and said that they wanted to restart the physical therapy treatment and even got a referral from their orthopedist.
Here comes the question: should a new therapy evaluation be performed & billed in this case?
The answer is no. New therapy evaluation is performed only in cases when there is a new treatment plan or a rapid change in the patient’s health condition. As long as there are no changes to the treatment plan and the services are still medically necessary, no new evaluation can be performed.
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