Skilled Therapy Documentation

Harmony Healthcare International (HHI) provides independent audit of Medical Records to determine Therapy service delivery was reasonable and necessary, required the daily skills, knowledge and judgment of a therapist and met the below standards of practice.

How can Harmony Healthcare International (HHI) help?

Harmony HealthCARE Specialists assist providers in reviewing medical records to ensure that the provision of skilled rehabilitation therapy is: 

  • Delivered pursuant to an individualized plan of care; 
  • Consistent with the nature and severity of the resident’s and/or patient’s individual illness or injury;
  • In compliance with accepted standards of medical practice; 
  • Reasonable and necessary given the resident’s and/or patient’s condition and plan of care to improve his or her condition, prevent or slow deterioration of his or her condition, or restore the his or her prior levels of function; and 
  • Limited to services that are inherently complex and require the skills of physical, speech, or occupational therapists, among other types of professionals; 
  • Complies with Medicare program requirements relating to the tracking of therapy minutes (e.g., only includes services that are inherently complex and require the skills of physical, speech, or occupational therapists, among other types of professionals; appropriately accounts for group and concurrent therapy); 
  • Complies with all Medicare and the System Facilities requirements relating to the documentation of medical records;
  • Obtains an assessment, by a physician, of the resident’s and/or patient’s need for skilled therapy and that the skilled services will improve his or her condition, prevent or slow deterioration of his or her condition, or restore his or her prior levels of function.

Request a Consultation