Which requirement must be met for therapy to qualify for coverage under Medicare?

Explore the Healthcare Compliance Test. Enhance your learning with flashcards, multiple choice questions, detailed hints, and explanations. Get expertly prepared for your exam today!

To qualify for coverage under Medicare, therapy must indeed be prescribed by a doctor of medicine (MD) or doctor of osteopathy (DO). This requirement ensures that the therapy is deemed medically necessary and is part of a comprehensive treatment plan aimed at addressing the patient's specific health needs. The prescription from a qualified physician establishes the legitimacy of the treatment, ensuring that it aligns with Medicare's criteria for coverage, which is focused on medically necessary services.

Other options may seem reasonable at a glance, but they do not meet the established criteria for Medicare coverage. For instance, proof of effective treatment from the first session is not a requirement for continuing coverage. Therapy also does not have to exclusively focus on physical rehabilitation, as it can encompass a range of services including occupational and speech therapy. Furthermore, while patient agreement is important for compliance with treatment plans, it is not a mandated criterion for coverage under Medicare. Thus, the prescription by an MD or DO stands as the fundamental requirement for therapy services to qualify for Medicare coverage.

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