Current News



Can Minutes of a Non-covered Service Count Towards the Total Billable Minutes?

QuestionIn my state, my Medicare Administrative Contractor (MAC) does not pay for iontophoresis as they consider it investigational and experimental. If I have a traditional Medicare patient that receives 35 minutes of 1 on 1 time that is billed out as therapeutic exercise, but also received iontophoresis that took 5 minutes of skilled one-on-tine to set up and answer patient questions, would it be permissible to ‘use’ the additional iontophoresis time (5 minutes) and add it to the 35 minutes of therapeutic exercise to achieve 40 minutes of total timed minutes, thus allowing 3 units of therapeutic exercise to be

Read More

Can Students Treat Medicare Patients and Bill For Those Services?

I am often asked if the time a student treats a Medicare patient for physical, occupational and/or speech therapy services, is that time billable to the Medicare program? In this article, I will answer this question as it applies to inpatient acute care, inpatient rehabilitation facilities, skilled nursing facilities providing Part A therapy services and outpatient therapy settings. QuestionIn the Inpatient Rehabilitation Facility (IRF) setting, do the minutes of therapy provided by the student therapist count towards the required 3-hours of therapy at least 5 days per week? Answer QuestionIn the inpatient hospital acute care setting, can therapy students treat

Read More

Is Assessment Time Billable Time?

I receive many questions regarding is assessment time billable time for outpatient therapy services and if yes, how do I account for that time in my billing. In this article, I will provide the answers to 4 of the more common questions I receive regarding accounting for assessment time. QuestionIs assessment time billable time? Answer QuestionWhen can assessment time begin? Answer QuestionCan you give me an example of assessment time and how it can be included within a CPT code? Answer QuestionCan you give a second example on how taking vital signs can be included in the assessment time of

Read More