In this article, I will answer which outpatient therapy settings can bill daily versus monthly to the Medicare program and other insurance carriers. Questions include the following:

If a Medicare beneficiary is admitted into the hospital and receives therapy services as an inpatient, Medicare’s 8-minute rule does

The Centers for Medicare and Medicaid Services (CMS) implemented what has become known as the “8-minute rule” on April 1, 2000. We all know this rule applies to traditional Medicare and outpatient therapy, but what about Medicare Advantage, federal insurance carriers, Medicaid, and commercial insurance carriers? In this article, I will answer the following questions:

This 1.5-hour webinar will discuss the Office of the Inspector General (OIG) Program Guidance for all entities involved in the Healthcare Industry. This includes private practices and facility settings that provide outpatient physical, occupational, and speech therapy services.

This 1.5-hour webinar will teach speech-language pathologists how to report the correct CPT code(s) based on interventions provided and documentation in the medical record, define the definition of substantial of a time-based CPT code and will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as commercial insurance carriers.

This 2.5-hour webinar will teach participants what CPT code to bill dependent upon their intent and documentation in the medical record. The webinar will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as non-Medicare insurance carriers.

Understanding the Complex World of Therapy Services: Documentation, CPTCoding and Billing This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare, Medicaid, and all other insurance carriers as they relate to outpatient therapy services.

In this article, I will provide the answers to the following speech therapy billing scenarios: