Guest guest Posted August 8, 2001 Report Share Posted August 8, 2001 We are running into a denial from our intermediary that states that basically we cannot charge 97535 on the same day we charge 97530. Not an unsurmountable problem if the charges were assigned by a single discipline, e.g., PT. Our problem comes into play when PT sees a patient and charges for a modality linked in our Charge Master to 97535, and OT sees the patient in a different session on the same day and charges for a modality linked to 97530--or vice versa. What do you do to capture the charges for each discipline? The prospect of coordination of charges between disciplines on a single day--to eliminate coding conflicts such as these--seems to be a bit daunting. I am also discovering that Rehab seems to be the only department (meaning PT, OT, and Speech) as opposed to Lab, Pharmacy, Respiratory, etc., that has HCPCS codes that link to multiple modalities within and between disciplines--primarily PT and OT. My Director colleagues in other hospital departments say that their HCPCS are modality specific: different for each and every modality or charge. Is anyone else having this problem? Suggestions welcome. S. Porter, M.A., CCC, CHE Director, Rehabilitation Services Northern Virginia Community Hospital Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.