Getting Started with Evolution Rehab Group is as Easy as 1,2,3
PRESCRIPTION
Have your provider fax it to us, or get it and keep it at home
(a therapy prescription from any of your physicians)
Should not be older than 30 days, should be relevant to your conditions, and can be from their Nurse Practitioner or PA as well
VERIFICATION
Our administrative team will call to verify your information
We will verify your insurance benefits, make sure you have a prescription, verify your address, phone, and any other information needed to get your case started. PLEASE NOTE: IF POSSIBLE GO TO BOTTOM OF PAGE AND DOWNLOAD INTAKE FORMS AND COMPLETE AND FAX OR EMAIL BACK PRIOR TO INITIAL EVALUATION TO EXPEDITE INSURANCE VERIFICATION
START OF THERAPY
Our licensed therapist supervisor will call to set up your evaluation visit
Our therapist will call and set up your first evaluation and session to determine your needs, care plan, appropriate schedule and frequency.
WHAT ARE THE REQUIREMENTS TO RECEIVE THERAPY
1.
You agree to payment terms, consent, assignment of benefits, and to abide by Medicare's regulations governing outpatient therapy.
3.
A therapy supervisor for the types of therapy you will be receiving will evaluate, supervise at least once every 10 sessions or 30 days, and will discharge you from care.
5.
Care needs to follow your payer guidelines
(authorizations, requirements, etc.)
For the purpose of clarity, the following 6-10 pertains to traditional Medicare as the payer.
7.
Care must be SKILLED
That is, it cannot just be for motivation, or because a patient doesn't feel like doing their own program. It cannot be easily replicated by a non-therapists, even if there is not someone else to perform it with them.
9.
Care must be RESTORATIVE
Evolution Rehab Group only performs restorative care plans. That means that there is an expectation for progress is a reasonable and predictable time frame to justify services.
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2.
Your current care plan must be certified by a physician (MD/DO/DPM) or one of their ARNP or PA every 6 weeks.
4.
You keep your sessions at least two times per week and up to 5 times per week to show that care is needed on an ongoing basis.
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6.
Care MUST be REASONABLE
That is, there can't be unrealistic expectations. If therapy has been ongoing for some time with no real change, we likely can't continue.
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8.
Care must be NECESSARY
That is, there needs to be some functional impact that needs to be addressed. If you can golf 7 days a week and go to work every day, chances are you may not qualify based on care being necessary.
10.
There cannot be concurrent Skilled Home Health
That is, there cannot be a Medicare nurse, Medicare aide, or other Medicare therapists still coming to see you or that has not discharged your care yet.
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