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Site Updated
Friday, February 03, 2012



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Home Care - Home Health Therapies/Ancillary Services
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HC1012H

Therapy Visit Note (PT/OT/ST)

HC1013H

Physical Therapy Evaluation

HC1017H

Occupational Therapy Evaluation/Functional Reassessment

HC1018H

Speech/Language Pathology Evaluation/Functional Reassessment

HC1019H

Medical Social Services Evaluation

HC1020H

Medical Social Services Visit Note

HC1037H

Physical Therapy Initial Evaluation / Assessment (Non-OASIS)

HC1038H

Psychiatric Nursing Evaluation

HC1039H

Psychiatric Visit Note

HC1043H

Physical Therapy Functional Reassessment

HC1306H

Physical Therapy Discharge from Agency Version

HC1307H

Comprehensive Adult Physical Therapy Assessment, 485 P.O. C. Worksheet, and OASIS Outcome and Assessment Information Set – START OF CARE VERSION & Resumption of Care

HC1314H

Adult Physical Therapy Re-Assessment, 485 P.O.C. Recertification Worksheet, and OASIS Follow-up

MP4780

Documentation for Nebulizer Treatment –Scheduled or PRN

MP4781

Documentation for Oxygen Therapy – Continuous or PRN

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