decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Physical_Occupational Therapy / Physical, occupational therapists can bill any code, except
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Article Overview
This article explains Medicare guidance for physical and occupational therapists in independent practice and outlines the general boundaries of what they may bill within their licensure-based scope of practice. It is intended for therapy providers, billing staff, and coding professionals who need to understand the broad Medicare policy context affecting outpatient therapy claims and related CPT usage.
Why This Topic Matters
Billing rules for independent therapy practices affect claim submission, compliance, and code selection. Understanding the policy framework helps therapy practices avoid inappropriate use of professional evaluation and management coding and align billing with Medicare expectations.
Article Sections
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Billing guidance for independent physical and occupational therapists
Overview of Medicare billing policy for therapists in independent practice and the general scope-based framework discussed in the article.
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Therapy evaluation billing references
Discussion of the therapy-specific CPT references mentioned as alternatives in the article and the context in which they appear.
What You Will Learn
- How Medicare frames billing for independent physical and occupational therapists
- What kinds of policy limitations are discussed for therapy billing
- Which broad CPT categories are referenced in relation to therapy evaluation services
- How the article situates Medicare guidance for PTIP and OTIP providers
Who Should Read This
- Physical therapists in independent practice
- Occupational therapists in independent practice
- Therapy billing staff
- Medical coders
- Compliance staff
Codes Discussed
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