Q: In the detail view of the plotted/posted visit in the Scheduler, some do not show “Medicare Covered.” Does this affect the claim?

Purpose of the "Medicare Covered (YES/NO)" Column in the Scheduler

Therapy Services: This column is specifically dedicated to tracking mandatory 30-day reevaluations for Medicare-covered therapy services.

• Blank Entry: A blank value signifies that the recorded visit is not a therapy session and, therefore, is not subject to the 30-day reevaluation requirement.
• "NO" Value: The presence of a "NO" indicates that the system has detected a potential failure to perform a required 30-day reevaluation within the regulatory timeframe.

Regulatory Compliance:
The "NO" response serves as an internal alert and does not prevent a claim from being processed. However, providers are advised that that failure to perform a timely 30-day reevaluation is a violation of therapy regulations and may be subject to review during an audit.

This FAQ was generated based on Synergy AI/EMR App Version 7.0.38.36159 and Dashboards Version: 7.0.38.14741

Important: The information in this FAQ is based on the software version available at the time of publication and is subject to change. Please use the software responsibly. HealthCare Synergy is not liable for any issues resulting from outdated or incorrect use of this information.