IRF: Rehabilitation Physician Review Template

The Rehabilitation Physician Review Template was designed to provide your rehabilitation physicians with valuable feedback and an "assessment" of their compliance with the documentation requirements outlined in the Medicare Benefit Policy Manual. The document is designed to be completed electronically. If you do not want to complete the form electronically, you can print it as a blank document and complete it in hardcopy format. Physician documentation is evaluated by conducting a chart review that compares the specific content of the physician's documentation in the patient's medical record to CMS's criteria for each item. The document uses the following scoring matrix: Well-Documented (2, 3, or 4 points): The physician provided documentation that completely and full satisfies the criterion.  Opportunity for Improvement (1point): The documentation satisfies the criterion to some degree, but it should it more clearly, provide more detail, or relate to the specific needs of the indiv