RE: Re: Medicare billing question

[Guest guest]

I do think it depends on your MAC. We are an ORF and we bill weekly;

however, our MAC will allow daily billing.

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of

Sent: Monday, June 13, 2011 7:25 AM

To: PTManager

Subject: Re: Medicare billing question

Monthly or at discharge:

p. 145

http://www.cms.gov/manuals/downloads/clm104c01.pdf

Aldridge

Vitalis Medical Billing

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> Depends on your MAC, but I can tell you that you SHOULD be able to

bill daily. The difference between an ORF and a PTIPP (outpatient rehab

facility and physical therapist in private practice) is that an ORF

bills on a UB04 and the other on a HCFA (or an ANSI 837I-Instititutional

vs and 837P-Professional electronic claim). Historically if you billed

on the UB04, the Intermediaries wanted you to bill a month of service as

a self contained claim. However, times have changed and MAC's do permit

daily billing. If you would like to discuss this further, feel free to

call me.

>

> Jim <///><

> X 110

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> Medicare billing question

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> Group,

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> I am getting some conflicting info regarding the frequency of billing

Medicare.

> I am an ORF, we do PT and speech therapy. Am I required to bill

Medicare at the

> end of the month or can I bill Medicare daily for PT services?

>

> Thanks in advance,

> Hankins, PT

> President

> Synergy Therapies, LLC

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>