Re: Billing

[Guest guest]

I read only the first line of what you wrote and jumped!

Your employers interpretation of the rules can be whatever they want to

be. Be extremely cautios whenever a law in interpretted for you, since

it is your license and your career.

[From experience, I unknowingly billed improperly for quite some yime,

believing so improperly that since they do it that way, and in order to

keep my job, I have to do it that way.]

For the record, I could not find a source to concur or refute, so I

shall keep my opinion and third party comments to myself.

Thank you,

the PT

Chestertown Orthopedics

" david adamczyk " wrote:

original article:/group/ptmanager/?start=8065

> My employer's interpretation of the rule is as follows:

>

> 1 unit 15-22 min., 2 units 23-37 min., 3 units 38-52 min., 4 units

53-67.

> So, to round up, you must be within 7 minutes of the higher 15min

increment.

>

> First, add total minutes from all treatment modalities first. Then

apply

> the rules listed above to determine the total number of units.

Finally,

> allocate the units to the appropriate treatment modalities.

>

> Also, you must have at least 15 minutes for the session to count as a

> treatment day, so this should be the minimum for any 1 unit treament.

>

>

> Dave Adamczyk, MPT

> www.RehabEdge.com

>

> Billing

>

>

> >How are therapists in long term care determining how to translate

minutes

> >into units for the billing of therapy? I am working with the billing

> office

> >and the question has arisen about when to round up or down to change

the

> >minutes into units on the UB92. I have reviewed a program memo from

HCFA

> on

> >home health that states that a unit is defined by 8 minutes above or

below

> >the 15 minute increment. So 1 unit =8-23 minutes. What are others

out there

> >using as a standard? Is there a reference anywhere that adresses

this? The

> >intermediary said to use the CPT code criteria, but that doesn't

help much.

> >Thanks for your help.

> >