Question: The Centers for Medicare & Medicaid Services says in episodes with multiple therapy disciplines, therapists can conduct their reevaluation visits "close to" the 13th and 19th visit. What counts as "close to"? Answer: Therapists in multiple-discipline cases must perform the reassessment visits "close to but no later than the 13th and 19th therapy visit," CMS says in the Medicare Benefit Policy Manual update issued April 15. Manual guidance for counting therapy visits in multi-discipline episodes grants much-needed flexibility to the reassessment visit scheduling process, but it's also sowing confusion amongst home health agencies, reports therapist and consultant Cindy Krafft with Fazzi Associates. "Think of the language as saying 'closest to' instead of 'close to'" for multi-discipline cases, and that may help, Krafft suggests. Just be sure to document why the OT did her assessment at that time. "It always goes back to the 'D' word," Krafft reminds providers. Resource: To download free 15- and 18- minute podcasts presented by Krafft explaining G codes & maintenance therapy and reassessment visits, respectively, go to the website for the American Physical Therapy Association's Home Health Section at www.homehealthsection.org.