Respiratory Therapy Compliance Monitoring for SNFs

Respiratory therapy documentation compliance, monitored every day

Every Part B respiratory therapy claim needs an order with the right CPT code, a treatment frequency that meets the code’s requirements, a qualifying diagnosis, and physician documentation. CareComply checks every RT order against these requirements every morning and emails your team a compliance report, so problems get fixed before month-end instead of being discovered in an audit.

What the daily RT Compliance Report checks

The order includes a valid RT CPT code
Pulse oximetry orders have a qualifying pulse-ox diagnosis
Codes that require it are ordered at least 3 times daily
A physician note supports the therapy
The resident still has a qualifying RT diagnosis and Part B eligibility

Built for the people fixing it

Each flag names the resident, the order, and what is missing, so a nurse or RT can fix it in PointClickCare in minutes. Reviewers can snooze a resident for 30 days when an issue is already being handled.

Frequently asked questions

What documentation does Medicare require for respiratory therapy in a SNF?

An order specifying the therapy, CPT code, and frequency; a qualifying diagnosis; physician documentation of medical necessity; and administration records showing the therapy was delivered.

How is this different from a pre-billing review?

A pre-billing review finds problems after the month is over, when many of them can no longer be fixed. CareComply checks every day, so your team fixes gaps while the therapy is still being delivered.

Sources

Review status: Pending compliance review