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An Original Medicare claim must be filed no later than one calendar year (12 months) after you received the health service. For example, if you went to the doctor on December 1, 2015, the deadline for filing a Medicare claim would be December 1, 2016. If the claim is not received in time, Medicare will not pay its share.
Plan of Care. 1  PTs must develop a plan of care (POC) for every Medicare patient, and a physician or nonphysician practitioner (NPP) must certify that POC within 30 days of the initial therapy visit. 2  The plan of care must include, at a minimum, diagnoses, long-term treatment goals, and the type,quantity, duration and frequency of therapy services.