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This is good information from Medicare to give to your therapy department. It clearly outlines the documentation required in the medical record that must be present to bill for therapies. 

Therapy documentation requirements

Did you know that since January 2012, it's a requirement for CAH's to give written notice to all patients if a physician (MD or DO, not a mid-level provider) is not present in the hospital 24/7, including the ED? 

There has to be signed acknowledgement from the patient prior to admission or registration. If you haven't already, this should be incorporated into the initial paperwork your patient signs.

To read the full documentation of this update, please touch on the link below for 42 CFR 489.20(w).

42 CFR 489.20(w)