lThe Clinical Review establishes continuing Medical
Necessity and Service
Necessity
l
lIs there a Treatment Plan, included diagnosis and
corresponding Progress
Notes?
l
lAre there indications of progress being made toward the
goals?
l
lDoes the CQRT Review form contain reasons for continuing
treatment?
l
lIs there an appropriate discharge plan on the CQRT form?
l
lAre signatures,
dates, Community Function Evaluations, Beneficiary Problem Resolution, Freedom of Choice and HIPPA forms
are present?