Re: Part A PPS billing update

[Guest guest]

I would like to know how to get to that link.

Pamela J. Harbert, LPTA

Director of Therapy Services

Henry County Health and Rehab

Abbeville, AL

" Excellence is not a skill. It is an attitude. "

From: PTManager [mailto:PTManager ] On Behalf

Of kathysawa

Sent: Thursday, March 31, 2011 10:50 AM

To: PTManager

Subject: Part A PPS billing update

Hello group,

I work in a SNF setting. I just received a notification from CMS regarding

billing of units when a patient has both concurrent and individual minutes

in a day. According to the notification, I could only bill 1 unit for the

day regardless of the number of minutes provided. The example from CMS has a

patient receiving 52 minutes of therapy (25 concurrent minutes and 27

individual minutes) and CMS states that 1 unit would be billed. Am I

interpreting this correctly?

Kathy Sawa, MPT

Neilson Place

Bemidji, MN

[Guest guest]

Kathy,

This is a little confusing in that a Part A patient is not billed by the unit to

Medicare. The SNF is reimbursed by RUG level so units are not an issue.

However, a Part B patient is billed by the unit but there is no such thing as

" concurrent " billing under Part B. Those minutes should be billed under the

group code. May want to look into just how this patient was billed. However,

the CMS response is also confusing. Would be interested in other responses...

Sherry Colson, DPT

Director of Rehabilitation

Lakeland Nursing and Rehabilitation, LLC

________________________________

To: PTManager

Sent: Thu, March 31, 2011 10:50:05 AM

Subject: Part A PPS billing update

Hello group,

I work in a SNF setting. I just received a notification from CMS regarding

billing of units when a patient has both concurrent and individual minutes in a

day. According to the notification, I could only bill 1 unit for the day

regardless of the number of minutes provided. The example from CMS has a

patient receiving 52 minutes of therapy (25 concurrent minutes and 27 individual

minutes) and CMS states that 1 unit would be billed. Am I interpreting this

correctly?

Kathy Sawa, MPT

Neilson Place

Bemidji, MN

[Guest guest]

I received the information in a MLN (Medicare Learning Network) Matters

newsletter number MM7339 dated 3/25/11.

Kathy Sawa, MPT

Neilson Place

Bemidji, MN

>

> I would like to know how to get to that link.

>

>

>

> Pamela J. Harbert, LPTA

>

> Director of Therapy Services

>

> Henry County Health and Rehab

>

> Abbeville, AL

>

> " Excellence is not a skill. It is an attitude. "

>

>

>

>

>

> From: PTManager [mailto:PTManager ] On Behalf

> Of kathysawa

> Sent: Thursday, March 31, 2011 10:50 AM

> To: PTManager

> Subject: Part A PPS billing update

>

>

>

>

>

> Hello group,

> I work in a SNF setting. I just received a notification from CMS regarding

> billing of units when a patient has both concurrent and individual minutes

> in a day. According to the notification, I could only bill 1 unit for the

> day regardless of the number of minutes provided. The example from CMS has a

> patient receiving 52 minutes of therapy (25 concurrent minutes and 27

> individual minutes) and CMS states that 1 unit would be billed. Am I

> interpreting this correctly?

>

> Kathy Sawa, MPT

> Neilson Place

> Bemidji, MN

>

>

>

>

>

>