PT Evals

PT eval was done 6/1, SN SOC was done 6/2. We wrote off 6/1. Do we have to also write off therapy visits for last week since no eval occurred after the SN SOC? Where can I find guidance for this.


  • That's a tough one... I would say that yes, another documented PT eval would need to be done after the RN SOC, especially if the initial PT eval was removed from the medical record. Medicare guidelines state that if the RN is to visit at any time during the episode that the RN must open the case. Even if PT did SOC eval and RN went next day and did RN Assessment, the medicare COP's are not being followed.

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