tci Medicare Compliance & Reimbursement - 2007 Issue 18

THERAPISTS: Cleanly Bill Your Attended Modalities

Check out this reader question to clear up confusion on therapy services billing.Question: I have a question regarding the following statement from CMS' therapy services billing scenarios Web page: www.cms.hhs.gov/TherapyServices/02_billing_ scenarios.asp#TopOfPage. In the section titled, "Billing CPT Codes: Not Permitted," the text reads, "In the same 15-minute (or other) time period, a therapist cannot bill any of the following pairs of CPT codes for outpatient therapy services provided to the same, or to different patients. Examples include: Any two CPT codes requiring either constant attendance or direct one-on-one patient contact ... (CPT codes 97032-...

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