Ron,
SNF's Part A do not BILL by CPT codes , they bill by RUGS level, which of
course is driven by Therapy minutes. Part A does allow treating 2 (or
occasionally) more patients at one time, but it is at the THERAPIST's
discression NOT the Providers (or therapy company). I sent along a link earlier
to a column called Medicare Advisor.. but I never saw my e-mail appear? Should
I resend it?
> Date: Fri, 14 Mar 2008 01:24:24 -0400> From: [EMAIL PROTECTED]> To:
> [email protected]> Subject: Re: [OTlist] ethics> > I've spent some time
> looking under Part A references and like you, I've> come up empty handed.
> However, I am waiting an e-mail response from> someone who may be able to
> provide an answer to the question.> > While searching, I did come across this
> quote from Medicare:> > quote> The Medicare contractor who pays your claims
> is the best source> quote> of answers to specific Medicare questions.
> Contractors are> quote> carriers, intermediaries or Program Safeguard
> Contractors who> quote> interpret Medicare laws, develop local policies and
> educate> quote> providers.> > You can always call your Medicare FI/Carrier
> and discuss the situation> with them. However, doing that might require that
> you provide them a> Medicare provider number, which you may or may not have.>
> > Another thing to consider is that most timed CPT codes are considered> one
> on one codes. Thus, a single therapist can not bill more than one> such code
> during the same period.> > Well, in the future I will be more careful before
> saying "this is easy".> > Ron> > > ----- Original Message -----> From: angela
> jones <[EMAIL PROTECTED]>> Sent: Thursday, March 13, 2008> To:
> [email protected] <[email protected]>> Subj: [OTlist] ethics> > aj> Ron,> aj> >
> aj> That's the frustrating part. I have read this info for part B. Does that
> mean that in a SNF or> aj> an inpatient rehab dept. with patients under part
> A services,> aj> therapists can treat 2 at a time as> aj> a minimum in each
> tx session? > aj> > aj> In the past, I recall searching and searching for
> something that would clarify the Part A> aj> requirements. Is it an oversight
> with the CMS guidelines? They are pretty clear about part B but> aj> I've
> found little on the Med A service guidelines.> aj> > aj> Thank you for any
> info you or others might provide and I appreciate the clarification.> aj> >
> Angie>> Date: Thu, 13 Mar 2008 02:22:57 -0400> From: [EMAIL PROTECTED]> To:>
> Angie>> [email protected]> Subject: Re: [OTlist] ethics> > Angie, I want to
> clarify that the link> Angie>> and information I previously> provided are for
> Medicare Part B billing scenarios.> > Ron>> Angie>> > ----- Original Message
> -----> From: angela jones <[EMAIL PROTECTED]>> Sent:> Angie>> Wednesday,
> March 12, 2008> To: [email protected] <[email protected]>> Subj: [OTlist]
> ethics>> Angie>> > aj> Thank you Ron - this is the exact type of info we're
> looking for!!> > > -- >> Angie>> Options?>
> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?>> Angie>>
> www.mail-archive.com/[email protected]> aj>
> _________________________________________________________________> aj> Shed
> those extra pounds with MSN and The Biggest Loser!> aj>
> http://biggestloser.msn.com/> > > -- > Options?>
> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?>
> www.mail-archive.com/[email protected]
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