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Wednesday, September 01, 2010



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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

HC1018H

Speech Language Pathology Evaluation

HC1019H

Medical Social Services Evaluation

HC1020H

Medical Social Services Visit Note

HC1037H

Physical Therapy Initial Evaluation / Assessment (Non-OASIS)

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

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