New York Worker's Compensation
Starting January 1, 2019, the New York state-specific treatment forms (such as PT-4) used for billing and reporting will be optional. Providers may replace these forms with the CMS-1500 form and a required Narrative Report.To download an example PT/OT Narrative Report, click here.
What does this mean for you?
Your clinic can opt out of additional forms (such as PT-4) and provide a CMS-1500 and Narrative Report instead.
What is required for a PT/OT Narrative Report?
Per the New York State Worker's Compensation Board:
- Rendering Provider's Name
- Referring Provider's Name: What was the frequency and period of the treatment ordered?
- Diagnosis(es) of Referring Provider
- Examination Findings
- (Re-)Evaluation/(Re-)Assessment of the patient's condition: Progress/Gains toward specific objective functional goals related to work or activities of daily living. Were identified goals met? If no, comment on the re-evaluation and/or change in treatment plan.
- Plan of Care: Treatment plan including a plan for the identification of ongoing specific objective functional goals and the re-evaluation of treatment.
Can I submit the Narrative Report electronically?
While payers will start accepting Narrative Reports electronically, you are unable to accomplish this in the application. We are diligently working to create a tool to submit Narrative Reports electronically with your CMS-1500 forms. Electronic submission is not required until January 1, 2020.