Outpatient Therapy Plan Of Care Forms

Go On CareflowNet

Beginning May 1, Outpatient Therapy Plan of Care forms for Medicare patients will be transcribed into IPV/Horizon for physicians to sign electronically. Medicare requires these forms for all Medicare recipients receiving outpatient physical, occupational, or speech therapy at the time of initial evaluation and every 30 days thereafter. Currently, this requirement is fulfilled by faxing the Medicare 700 or 701 form to the physician for signature and then having the physician's office fax it back to the therapy office — a procedure time-intensive for both the therapy and physician's office staff.

In the new procedure, the Plan of Care will appear in the referring physician's queue as "Work type: REHAB (PT, OT, or SLP) MEDICARE." All that is required of the physician is to pull up the document, review the plan, and sign it electronically. Once signed, the document will automatically print in the therapy office.

PLEASE NOTE: In order for the therapy staff to route the form to the correct physician, it is important that the signature on the referral or prescription be legible. Please print your name under the signature.