Form Cms-1893 - Outpatient Physical Therapy - Speech Pathology Survey Report Page 4
Download a blank fillable Form Cms-1893 - Outpatient Physical Therapy - Speech Pathology Survey Report in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Cms-1893 - Outpatient Physical Therapy - Speech Pathology Survey Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14NAME
NOT
CODE
STANDARDS
MET
N/A
EXPLANATORY STATEMENT
MET
I15
(b) Administrator. The governing body —
(1) Appoints a qualified full time administrator;
(2) Delegates to the administrator the internal operation of
the clinic or rehabilitation agency in accordance with
written policies;
(3) Defines clearly the administrator’s responsibilities for
procurement and direction of personnel; and
(4) Designates a competent individual to act in the
temporary absence of the administrator.
I19
(c) Personnel policies. Personnel practices are supported by
appropriate written personnel policies that are kept current.
Personnel records include the qualifications of all professional
and assistant level personnel, as well as evidence of State
licensure if applicable.
I22
(d) Patient care policies. Patient care practices and
procedures are supported by written policies established by
a group of professional personnel including one or more
physicians associated with the clinic or rehabilitation
agency, one or more qualified physical therapists (if
physical therapy services are provided), and one or more
qualified speech pathologists (if speech pathology services
are provided). The policies govern the outpatient physical
therapy and/or speech pathology services and related
services that are provided. These policies are evaluated at
least annually by the group of professional personnel, and
revised as necessary based upon this evaluation.
I47
§485.711 Plan of care and physician involvement
For each patient in need of outpatient physical therapy or speech
pathology services there is a written plan of care established
and periodically reviewed by a physician, or by a physical
therapist or speech pathologist respectively.
Form CMS-1893 (01/13)
4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Cms-1856 - Request For Certification In The Medicare And/or Medicaid Program To Provide Outpatient Physical Therapy And/or Speech Pathology Services
Medical
Form Cms-2802d - Request For Validation Of Accreditation Survey For Ambulatory Surgical Center
Medical
Related Categories
Parent category: Medical