Therapy plans of care and results of treatment will be reviewed at a minimum of every 10 treatment sessions or every 30 calendar days, whichever is first. Plans of care will be reviewed more frequently based on the individual needs of the patient.  

The Progress Report shall contain:

• Date that the report was written;

• Signature and professional identification of the qualified professional who wrote the report;

• Objective reports of the patient’s subjective statements if relevant;

• Objective description of changes in the patient’s status relative to each goal currently being addressed in treatment.

• Assessment of improvement, extent of progress (or lack thereof) toward each goal;

• Plans for continuing treatment and/or treatment plan revisions

Progress Reports are to be submitted by the qualified clinician within 48  hours. If a significant change occurs, then a Recertification of the Plan of Care will be completed with a Progress Report and submitted to the Physician/NPP for certification.

Changes to the Therapy POC

Consistent with regulatory guidelines, changes to a plan of care are to be documented in the clinical record and the attending physician will be promptly notified of any change in the patient's condition or plan of care. Re-certifications of a Plan of Care are to be done when:

• The initial certification period is going to expire and continued skilled care is medically necessary;

• When there is a change in the patient's condition that requires a revision of the patient's goals;

• When additional skilled therapy intervention beyond the initial recommended number of visits is needed to achieve the treatment goals.

Re-certifications of the plan of care will be promptly sent to the attending physician/NPP for certification.  If there is a change in the patient's medical condition, the physician/NPP will be promptly notified through verbal communication consistent with our Emergency Management Plans and documentation maintained in the clinical record.