Can a Medicare Beneficiary Receive Outpatient Therapy at More Than One Practice/Organization During the Same Time Period?
There may be circumstances where a Medicare beneficiary may be receiving therapy services at more than 1 practice/organization during the same time period, either by the same discipline or different disciplines. However, when this occurs, will the Medicare program reimburse both practices/organizations of outpatient therapy services?
The answer is
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Rick, sorry to say that this is not true if one of the institutions is a home health agency or if the patient is under hospice care. Mitch Kaye
Mitch, This article is not talking about home health services. The article is discussing receiving outpatient therapy at more than one location during the same time period. Also, a patient in hospice can have outpatient therapy separate from hospice if certain conditions are met. Please read my Hospice FAQs at https://gawendaseminars.com/faq/hospice/
I love your response about all other carriers. Unfortunately there is less and less medicare every year, and will continue that way.
Hi Rick, Thank you so much for your updated information and guidance. Before reading the above article, I always thought a Medicare beneficiary cannot get concurrent P.T. services at 2 different locations for different body parts.
Knowing that now, raises a question for scenario 1:
Does the Medicare $2330.00/yr limit apply to both clinics combined?
Would appreciate your clarification.
Thank you
-Jaya
Yes!
Rick,
How would the MPPR be applied in the situations you described? Would it be determined by which facility got their bill in first?
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