RE: Medicare and Private Pay

[Guest guest]

Brad,

As far I understand it, you have to bill Medicare for Physical Therapy

services if it is indeed a covered code. Otherwise if it is not covered

then they need/should sign an ABN form acknowledging that they will be

billed for that service. This goes the same if you think the patient

doesn't fit Medicare's definition of medical necessity. This is a good

question for Rick Gwanda.

Other thoughts from list members?

Regards,

Amrich, PT, OCS, CSCS

Clinic Manager - Physical Therapist

Boulder Center For Sports Medicine - East

400 South McCaslin Blvd. Suite 210

Phone:

Fax:

BCSM_WorldClass logo small

From: PTManager [mailto:PTManager ] On Behalf

Of bradley_b99

Sent: Thursday, October 09, 2008 7:36 AM

To: PTManager

Subject: Medicare and Private Pay

Does anyone know if there are any regulations or rules Medicare has

when providing PT services to private pay patients who are also coverd

by Medicare?

Thanks,

Brad Abrams DPT

Saint Louis, MO

brad@... <mailto:brad%40mobile-pt.com>