What is the complete description for CPT code 97150? Is CPT code 97150 a timed or untimed CPT code? Does the descriptor for CPT code 97150 apply to just Medicare or all insurance carriers? Does the traditional Medicare reimburse for CPT code 97150? Does the traditional Medicare program reimburse for other CPT codes when billed on the same date of service as CPT code 97150? Do all other insurance carriers reimburse for CPT code 97150? How many patients can be in a group? Can group members be mixed payer sources? How do you document skill for group therapy? Can you give an example of when to bill group therapy? Using the example of group therapy in Question #10, can you show me how this could be billed as individual therapy to each patient? How should group therapy be billed if there is a combination of disciplines for the group? For example, an occupational therapist and speech-language pathologist is working with a group for community reintegration, ADLs, and cognition? Can group therapy be billed for 2 or more patients if they are receiving aquatic therapy? Must all patients in the group be performing the same or similar activities under Medicare Part B (outpatient therapy)? What is the definition of group therapy for Medicare beneficiaries in a skilled nursing facility under Part A benefits (PDPM)? Under Part A benefits in a skilled nursing facility, what is the difference between concurrent therapy and group therapy? Does concurrent therapy exist in the outpatient therapy setting? Does the Centers for Medicare and Medicaid Services provide any resources on group therapy provided under Medicare Part B (outpatient therapy)? Does the Centers for Medicare and Medicaid Services provide any resources on group therapy and concurrent therapy provided under Medicare Part A benefits in a skilled nursing facility? Can patients be staggered in the group, or must all group members start at the same time, and end at the same time? Can and aide/tech assist with group therapy? If so, how is it billed? Can a patient be in 2 groups in a therapy session (e.g., before 1:1 and after 1:1)? How is that billed? Does the traditional Medicare program reimburse for group therapy? If yes, what is the average reimbursement? Do Medicare Advantage plans and commercial insurance carriers reimburse for group therapy? Does the traditional Medicare program reimburse for one-on-one CPT codes the same day group therapy is billed?

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