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Page 1 of 1 PT Followup/Recertification C2.00-Page 1 Patient ID: Visit Date: Patient Name: Episode Date: (M0010) CMS Certification Number: (M0140) Race/Ethnicity (Mark all that apply.) (M0014) Branch
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01
Obtain the PT Follow-up Recertification C-2 form.
02
Provide all requested personal information such as name, contact information, and date of birth.
03
Indicate the reason for the PT follow-up recertification.
04
Provide details on the previous certification and the progress made since then.
05
Include any relevant medical reports or documentation to support the recertification request.
06
Ensure that all sections of the form are completed accurately and legibly.
07
Submit the filled-out PT Follow-up Recertification C-2 form to the appropriate authority or organization as instructed.

Who needs pt follow-uprecertification c-2?

01
Patients who have previously undergone physical therapy and require a follow-up recertification.
02
Physical therapists or healthcare professionals responsible for assessing a patient's progress and determining the need for recertification.
03
Insurance companies or reimbursement agencies requesting proof of the patient's continued need for physical therapy services.
04
Medical facilities or institutions that require documentation for the purposes of record-keeping and regulatory compliance.
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Pt follow-uprecertification c-2 is a form used for recertification of a patient's follow-up appointments.
Healthcare providers or medical facilities responsible for the patient's care are required to file pt follow-uprecertification c-2.
Pt follow-uprecertification c-2 should be filled out with the patient's information, follow-up appointment details, and any necessary certification information.
The purpose of pt follow-uprecertification c-2 is to ensure that patients receive proper follow-up care and to keep track of their recertification appointments.
Information such as patient details, follow-up appointment schedule, and any certifications required for the visit must be reported on pt follow-uprecertification c-2.
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