Next Event: 2026 MIPS for Physical Therapists, Occupational Therapists, and Speech-Language Pathologists
Date: December 18,2025
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
How to Document Time in the Medical Record
Lately, I have been receiving questions regarding what must a therapist or an assistant document in regards to time for patients receiving outpatient therapy services under Medicare Part B. Does the Medicare program require time in and time out? Does the Medicare program require we document the minutes spent on each individual CPT code. In this article, I will answer what the Medicare program does and does not require in terms of documentation of time for each therapy visit as well as Medicare Advantage plans, Medicaid, private/commercial insurance carriers and workers compensation carriers. For outpatient therapy services provided under Medicare