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Clinical Tools and Products

Determination of Medical Necessity of Rehabilitation Therapy Services

Medicare defines medical necessity as a determination that a service is reasonable and necessary for the diagnosis or treatment of illness or injury. However, use of this term in health care settings is controversial and often confusing. Applying the concept of medical necessity to rehabilitation therapy services is challenging for several reasons. The issue of the medical necessity of therapy services presents many questions and challenges for long term care medical directors, attending physicians, and patients. This tool kit should help medical directors and attending physicians determine medical necessity and identify the appropriate use of therapy services. Physicians will appreciate the guidance in this kit about the appropriateness and potential benefits of therapy services and the ability of individuals in the long term care setting to tolerate these services. The kit defines common abbreviations and therapy services, has a glossary of terms, frequently asked questions, and sample procedures and forms.

Ordering Information:
Product Code: LTCMNR1
Member Price: $25.00
Non-Member Price: $45.00
Follow this link to order.

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