Medicare Treatment Plan Suggestions printable pdf download

TREATMENT PLANS - GUIDANCE FOR MEDICARE REPORTS

The Medicare coverage manual lists the following as required criteria:

“A description of the

Background:

functional communication goals expected to be achieved and treatment options” and “Demonstration

that the patient possesses a treatment plan that includes a training schedule for the selected device.”

Increased focus has been placed on treatment plans and goals by Medicare reviewers during recent

audits.

Sample Verbiage:

•

It is recommended that the required statement that a copy of the report has been sent to the

physician now state, “A copy of this report, including Treatment Plan and Goals, has been sent

to the prescribing Physician for review and prescription.”

•

If additional therapy is not recommended by the SLP, details should be provided to explain why.

Below are sample scenarios and recommended verbiage.

Scenario: The SLP is recommending that the client receive Speech and Language Therapy

after getting an SGD.

Title the section “Treatment Plan/Intervention Schedule”.

State that the client will receive Speech/Language Therapy ____X/week or ___X/month

and for how many weeks/months.

State that these sessions will focus on the goals listed above in the report.

Scenario: The SLP is recommending that the client receive Speech and Language Therapy

after getting an SGD, but the client will not be returning to the evaluating SLP, and should

be referred for home health or out-pt. therapy.

Title the section “Treatment Plan/Intervention Schedule”.

State that the client should receive ongoing Speech/Language Therapy, addressing the

above-stated goals, and state why client will not be able to return to the evaluating SLP (i.e.,

too far away, travel is too difficult, already receiving speech therapy in school).

State the recommendation for the family to ask the prescribing physician to order

Speech/Language Therapy for the client through home health or out-pt. resources.

If client is in school and receiving therapy, state that.

Scenario: The Client is cognitively intact and literate, and has the skills to learn to use the

SGD without the services of an SLP. This would typically be clients with ALS, MS,

Parkinson’s, etc.

Title the section “Treatment Plan/Intervention Schedule”.

State that the client has the cognitive and technical skills to use the SGD without the

services of an SLP. Add any pertinent information, such as familiarity with computers, etc.

State the selection method used by the client and what he/she can independently do.

Medicare Treatment Plan Suggestions