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Department of Health & Human ServicesForm ApprovedCenters for Medicare & Medicaid Services OMB No. 09380267 ___COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY SURVEY REPORT (CMS360)Name of Facility Number Survey

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How to fill out comprehensive outpatient rehabilitation facility

01

Contact the facility to schedule an initial evaluation

02

Provide necessary medical history and insurance information

03

Attend scheduled appointments with rehabilitation professionals

04

Follow individualized treatment plan recommended by the professionals

05

Communicate any concerns or progress with the rehabilitation team

06

Complete recommended exercises or therapies at home as instructed

Who needs comprehensive outpatient rehabilitation facility?

01

Individuals recovering from surgery or other medical procedures

02

Patients experiencing musculoskeletal injuries

03

Patients with chronic conditions requiring ongoing therapy

04

Patients with physical or cognitive disabilities seeking rehabilitation

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What is comprehensive outpatient rehabilitation facility?

A comprehensive outpatient rehabilitation facility is a healthcare facility that provides multidisciplinary rehabilitation services to patients on an outpatient basis.

Who is required to file comprehensive outpatient rehabilitation facility?

Healthcare facilities that offer outpatient rehabilitation services are required to file a comprehensive outpatient rehabilitation facility.

How to fill out comprehensive outpatient rehabilitation facility?

To fill out a comprehensive outpatient rehabilitation facility, the facility needs to provide detailed information about the services offered, patient demographics, staffing, and quality measures.

What is the purpose of comprehensive outpatient rehabilitation facility?

The purpose of a comprehensive outpatient rehabilitation facility is to provide rehabilitation services to patients in an outpatient setting to help them recover from illness or injury.

What information must be reported on comprehensive outpatient rehabilitation facility?

Information that must be reported on a comprehensive outpatient rehabilitation facility includes patient outcomes, treatment protocols, and staff credentials.

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