Does Medicare cover CORF services?
CORF Services. A CORF facility primarily provides outpatient rehabilitation for Medicare beneficiaries who are injured, disabled or recovering from illness. The outpatient therapy benefit under Part B provides coverage only of therapy services.
Who can sign the initial CORF therapy plan of treatment?
The initial CORF therapy plan of treatment must be established and signed by the qualified physician prior to the start of treatment.
What is a corf and how does it work?
CORFs may also provide optional rehabilitative and other medically necessary items and services. The CORF physician establishes the PT, OT, SLP plan of care (POC) and signs it prior to treatment in the CORF setting. PT, OT, SLP services are rendered while the beneficiary is under the care of a physician.
What are the three core services a corf must provide?
The CORF must provide three core services; a physician service, physical therapy and social or psychological services. CORFs may also provide optional rehabilitative and other medically necessary items and services.
What is a CORF in healthcare?
A CORF is a facility that is primarily engaged in providing outpatient rehabilitation for the treatment of Medicare beneficiaries who are injured, disabled, or recovering from illness.
What is the difference between an ORF and a CORF?
ORFs use a 74x type of bill when submitting claims to Medicare. A CORF is a facility that is primarily engaged in providing diagnostic, therapeutic and restorative services to outpatients for the rehabilitation of the injured and disabled or patients recovering from an illness.
What is CORF medical billing?
Medicare provides coverage under Part B for outpatient therapy services such as physical therapy (PT), occupational therapy (OT) and speech language pathology (SLP). These services must be furnished by qualified professionals under an established plan of care.
Who must sign a CORF plan?
The initial CORF therapy plan of treatment must be established and signed by the qualified physician prior to the start of treatment. For Medicare purposes, the qualified physician must be a doctor of medicine, doctor of osteopathy (including osteopathic practitioner), doctor of podiatry acting within scope of practice, ...
What services are covered by CORF?
The following conditions apply: The CORF must provide three core services; a physician service, physical therapy and social or psychological services.
What is a cofr facility?
A CORF facility primarily provides outpatient rehabilitation for Medicare beneficiaries who are injured, disabled or recovering from illness. The outpatient therapy benefit under Part B provides coverage only of therapy services. Payment can be made only for those services that represent skilled reasonably and necessary therapy services ...
How long does a POC have to be recertified?
The physician must review and recertify the POC during the duration of the plan of care or within 90 days, whichever is less.
What is an ORF PT?
A plan of treatment has been established by a physician/ NPP or by the therapist. ORF PT, OT, SLP services are rendered while the beneficiary is under the care of a physician. Certification is required for coverage and payment of a therapy claim. ORF services benefit will recognize a NPP for orders and certification.
How often does Medicare cover CORF?
Typically your doctor must create a treatment plan and recertify you at least once every 90 days in order for Medicare to continue covering your care.
What are covered items at a CORF?
Covered items and services at a CORF include: Doctors’ services. Physical, occupational, and respiratory therapy, and speech-language pathology services. Prosthetic and orthotic devices, including testing, fitting, and/or training in the use of these devices.
How much coinsurance do you pay for Medicare?
If you receive care from a participating provider, you pay a 20% coinsurance after you meet your Part B deductible ($203 in 2021). You may receive a separate bill if you receive medical equipment or supplies during your stay. In this case, too, Medicare covers 80% of its approved amount, and you pay a 20% coinsurance.
Billing for CORF
For more information regarding billing, go to the billing portion of the website.
Application Time Frame
Once Noridian has completed the reviewal of the application, a Recommendation for Approval Letter is sent to the State Agency and CMS. Below are the time frames in which Noridian has to review the application
Background
In a November 25, 2009 final rule, CMS revised the definition of "respiratory therapist" in reference to personnel qualifications that must be met by a CORF.
Publication date
The proposed rule was published in the Federal Register, Volume 74, No. 132, July 13, 2009.