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CMS Compliance Update: Reporting Co-treatments & Distinct Calendar Days


Therapists must document and report co-treatment activity for Medicare Part A patients beginning on October 1, 2013.  When two therapists from different disciplines treat one patient at the same time with different treatments, both disciplines may record the full treatment session with that patient.  All policies regarding mode, modalities, and student supervision must be followed as well as all other federal, state, practice, and facility policies.  

The decision to co-treat should be made on a case-by-case basis and the need for co-treatments should be well documented for each patient.  The use of co-treatments should be limited because such co-treatments are appropriate for specific clinical circumstances and would not be suitable for all patients. 

Therapists treating one or more Medicare Part B patients as a "team" cannot each bill separately for the same or different service provided to the same patient at the same time.  In addition, therapists must report the “Distinct Calendar Days of Therapy” for at least 15 minutes a day in the last 7 days on the MDS 3.0 Form beginning on October 1, 2013.

Since the use of co-treatments requires significant clinical documentation, CarePoint has modified its Daily Note tool to provide therapists with a quick and easy way to document and report co-treatment activity.  Co-treatment minutes for the last 7 days are calculated and transferred to the MDS 3.0 Form automatically.  Distinct calendar days with at least 15 minutes of therapy in the last 7 days are now calculated on the MDS 3.0 Form as well. 

Record Co-treatments with the click of a mouse

Daily Note - record co treatments - therapy documentation standards


Document Co-treatments automatically

Document Cotreaments - Therapy Documentation


Report Co-treatments & Distinct Calendar Days on the MDS 3.0 Form

Cotreatments - Minimum Data Set - MDS 3.0 - Distinct Calendar Days






What does the distinct calendar days in therapy mean....? 
We are a CAH facility is this relevant to us
Posted @ Wednesday, September 18, 2013 11:14 AM by Lisa
This is interesting! I enjoyed reading your great post.Thanks for the valuable information and insights you have shared here. 
Physical Therapist Nyc
Posted @ Saturday, January 25, 2014 4:48 AM by Robert Costiera
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