§424.27. Requirements for comprehensive outpatient rehabilitation facility (CORF) services.
42 C.F.R. § 424.27
Medicare Part B pays for CORF services only if a physician certifies, and the facility physician recertifies, the content specified in paragraphs (a) and (b)(2) of this section, as appropriate.
Certification: Content.
The services were required because the individual needed skilled rehabilitation services;
The services were furnished while the individual was under the care of a physician; and
A written plan of treatment has been established and is reviewed periodically by a physician.
Recertification—
Timing. Recertification is required at least every 60 days for respiratory therapy services and every 90 days for physical therapy, occupational therapy, and speech-language pathology services based on review by a facility physician or the referring physician who, when appropriate, consults with the professional personnel who furnish the services.
Content.
The plan is being followed;
The patient is making progress in attaining the rehabilitation goals; and,
The treatment is not having any harmful effect on the patient.
Notes, amendments, and revision history
Amendments
[53 FR 6634, Mar. 2, 1988, as amended at 72 FR 66405, Nov. 27, 2007]
Authority
Authority: 42 U.S.C. 1302 and 1395hh.
Source
Source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.
Amendments
[53 FR 6634, Mar. 2, 1988, as amended at 72 FR 66405, Nov. 27, 2007]