![]() ![]() If you perform multiple time-based or constant attendance services, you must calculate the total number of direct timed minutes as well as the total treatment time. Simple, right? Well, here’s where it can get a little complicated. Per the 8-Minute Rule, you’d need to perform therapeutic exercise for eight minutes in order to bill. You cannot bill for therapeutic exercise because you performed this procedure for seven minutes. If you perform an initial evaluation for 35 minutes and therapeutic exercise for seven, you would charge one unit of physical therapy evaluation. Here’s an example from compliance expert Tom Ambury: Example #1 Here’s where the 8-Minute Rule comes in: according to this article, in order to receive reimbursement from Medicare for a time-based code, you must provide direct treatment for at least eight minutes. Time-based (or constant attendance) codes, on the other hand, allow for variable billing in 15-minute increments when a practitioner provides a patient with one-on-one services, such as therapeutic exercise, manual therapy, neuromuscular re-education, therapeutic activities, gait training, ultrasound, iontophoresis, and electrical stimulation. For these types of services, it doesn’t matter if you complete the treatment in 15 minutes or 45, because you can only bill for one code. ![]() Service-based (or untimed) codes are those that you’d use for things like conducting a physical therapy evaluation or re-evaluation, applying hot/cold packs, or performing electrical stimulation (unattended). There are two types of CPT codes you’ll need to understand in order to bill properly: service- and time-based. We also have many other calculators.In honor of this month’s compliance theme, here’s everything you need to know about how therapists determine what to bill to Medicare for outpatient therapy services (a.k.a. Got your fix of the hours difference calculator? There are many more where that came from. I hope you enjoy the minute duration tool and you find it useful for all your minute math. Instead of casually saying "just five more minutes", you can use the tool to show the relationship between two times. It's also very useful when exploring time with children. The minutes calculator is useful if you are paid in fractions of an hour, for example in 15 or 30 minute increments. This tool along with the hours calculator are useful to compute the length of a shift. If the start time is later than the end time it will do the math assuming the time frame passed midnight. The tool will assume the two times fall within the same 24 hour period. What if the time-span crosses midnight? That is, what if the start time is later than end time? Is Noon in the AM or PM? What About Midnight?īy tradtion, 12:00 PM is noon and 12:00 AM is midnight.
0 Comments
Leave a Reply. |