While that is the billing rule, there are also other issues involved. Medicare 
likes to know exactly the minutes of treatment given and under each billing 
code. Depending on where that service was given, start and end times that 
include only the direct contact time with the patient are also required (eg 
acute and outpatient services) In rehab the total minutes for the day across 
all disciplines much total 180 (3 hrs) as a minimum.


Sue D 




> Date: Thu, 18 Jun 2009 07:06:29 -0600
> To: [email protected]
> From: [email protected]
> Subject: [OTlist] 7 minute rule
> 
> Hi Ron,
> 
> I don't do any kind of billing (at my present job I just write down 
> the times and someone else does the math and bills it), but I am 
> going to be doing some work on the side and doing my own billing.  It 
> is my understanding that the minutes vary slightly for medicare and 
> private insurance.  Do you (or anyone else) know the different times 
> for each?  Are the times listed below for medicare or private insurance?
> 
> Thanks!
> Pat
> 
> At 06:00 PM 6/11/2009, you wrote:
> >Hello Mary:
> >
> >The  7  minute  rule is this:
> >
> >1 unit= greater than 8 minutes bus less than 23 minutes
> >
> >2 units = greater than 23 minutes but less than 38 minutes
> >
> >3 units = greater than 38 minutes but less than 53 minutes
> >
> >4 units = greater than 53 minutes but less than 68 minutes
> >
> >etc....
> 
> 
> 
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