tci Medicare Compliance & Reimbursement - 2005 Issue 1

REHAB: Ensure Co-Treatment Doesn't Lead To Double-Billing

Warning: CMS is on the lookout for providers who team up and game the system. If you provide treatment to a patient with another therapist - or if two assistants provide treatment together - don't bill for the full session for each provider. If you do, you're begging for an audit.Therapists providing co-treatment (or "team therapy") must either split the billing or decide which one will bill for the entire session, Centers for Medicare & Medicaid Services makes clear on its Medicare Part B Therapy Billing site.Example: "A PT and an OT work together for 30 minutes...

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