How often must recertification of the care plan occur if therapy continues beyond the certified duration?

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The recertification of a care plan is a critical component in therapy services to ensure that the plan remains appropriate and necessary for the patient's ongoing treatment. When therapy continues beyond the initial certified duration, the care plan must be reviewed and recertified to reflect any changes in the patient's condition, treatment goals, or overall progress.

The requirement for recertification at least every 90 days aligns with guidelines provided by Medicare and other regulatory bodies, which emphasize the need for periodic assessment of the patient's needs and the effectiveness of the therapy provided. This ensures that care is personalized and continues to meet the patient's evolving health needs.

In contrast, a 30-day or 60-day recertification frequency may not provide enough scope to adequately evaluate the progress of the therapy, while recertification only at initiation could leave treatment plans outdated, potentially hindering patient care. Thus, the requirement of at least every 90 days balances the need for diligent oversight with the administrative burden on the healthcare provider.

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