Medicare Benefit Policy Manual (Pub. 100-02), Ch. 2 § 30.3.2

Services Expected to Improve the Condition or for Purpose of

Last amended: 2018Year: 2018Length: 121 wordsOfficial source
30.3.2 - Services Expected to Improve the Condition or for Purpose of Diagnosis (Rev. 253, Issued: 12- 14-18, Effective: 01-16-19, Implementation: 01- 16-19) In accordance with 42 CFR 424.14(b)(1) and 42 CFR 424.14(c)(1), the physician must include in all certifications and recertifications that the services provided could reasonably be expected to improve the patient's condition or are for the purpose of diagnostic study. It is not necessary that a course of therapy have as its goal the restoration of the patient to a level which would permit discharge from the institution although the treatment must, at a minimum, be designed both to reduce or control the patient's psychotic or neurotic symptoms that necessitated hospitalization and improve the patient's level of functioning.
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 2 § 30.3.2: Services Expected to Improve the Condition or for Purpose of | Justis AI