Hi everyone,
I have been working inpatient at a VA hospital for several years and have
not had to worry about billing and CPT codes until recently.  We are now
having to capture these procedures to justify our time, and the need for
more FTEs, so we need to maximize the number of procedures we report, but
obviously want to keep it legal and ethical.  
I would appreciate any info from those in the private sector or other VAs on
the following questions.

1. Must we use only 97003 OT Evaluation for the initial OT visit whether
it's a full or modified eval and takes 15 mins. or an hour or more?  Problem
is, we have a lot of 1x visits and it shows up on our stats as 1 unit of 15
mins.

2.  If we do above said eval, and in the context of that eval, do w/c or ADL
training, or some other therapeutic procedure, can we add the codes for
those, too, or does it have to be done on a different day?

3.  97750 Physical performance test or measurement and 96115 Neurobehavioral
status exam count for 15 mins and per hour, respectively, with
interpretation and written report.  Does that mean, for example, an FCWE
that takes 6 hrs. with the client, and 2hrs. to write the report, would
count as 32 units? 

4.  Does anyone use the 99199 code to count for documentation time?

5.  What is your average time per pt. for an evaluation or treatment, chart
review, documentation, ordering w/c & home equipment,  etc.?

6. What is the required level of productivity at your facility or in your
work setting?  
And, how much time are you allowed for tx. team meetings, staff meetings,
training, in-services, pt./caregiver calls, scheduling, and miscellaneous
office tasks?

Thanks in advance,

Tia Healy
WG Hefner VAMC
Salisbury, NC

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