At TNPR we must guarantee that the practice of the therapy is performed in compliance with the standards of Medicare & Medicare Advantage healthplans. Therefore, in accordance with the Provider Manual (page 8, 1st paragraph), whenever a medical order is submitted for physical therapy, the provider must complete the evaluation and plan of treatment BEFORE sending the Intake Form to request an authorization number. It is not acceptable to do this in reverse.
It is important to stress that every provider must offer the necessary therapy to the patient. It is not an acceptable practice to discontinue necessary treatment, waiting for an authorization number.
Please keep in mind, a standard authorization can take up 72 hours to be processed and you will need to have all available documentation in the medical record of the patient, in case it is requested by TNPR.