Double Booking Non-Medicare Patients: How Do I Bill?
Two weeks, I wrote an article titled “Can I Double Book Medicare Patients“. If you have not had a chance to read this article, I would suggest you take a few minutes to read it as it will really help you in your practice and organization understand the rules and regulations regarding scheduling and billing of double booking Medicare patients. This article then led to other questions that I will address in this article. The last question will show you how it’s possible to bill 7 time-based units plus 2 untimed CPT codes within a one hour time period.
Question
Can I double book 2 non-Medicare patients during the same time period?
Answer
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Question
If I have 2 non-Medicare patients scheduled from 10:00AM – 11:00AM and it’s just me, how do I do the billing?
Answer
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Question
In the above scenario, if I am able to utilize a rehab aide/rehab tech with both patients (per my practice act and the insurance carrier), how could the billing now look for the 2 patients?
Answer
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I hope you found this article informative and helpful. In addition, you can now see how it’s possible to bill more than 4 time-based units in an hour. Thank you for being a Gold Member!
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Rick, is delegation of billable care as is suggested in your second example not in part tied to the Licensure laws in your state? Also, where can I confirm, that indeed Aide provided services are billable? Is this example specific to the two payers? But even then, BCBSM would, to my knowledge not reimburse for the portion of care provided by the aide. What am I missing here?
The question is stated as “In the above scenario, if I am able to utilize a rehab aide/rehab tech with both patients (per my practice act and the insurance carrier), how could the billing now look for the 2 patients?” You see both the practice act and insurance carrier are mentioned and both must allow it.
We have a question at our clinic about Aetna. Do you know if they bill according to CMS or AMA rules? Our clinic is in Washington state. Thank you.
You would need to review your contract as well as look at any applicable Aetna therapy policies.