Medicare billing question

[Guest guest]

Group,

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

[Guest guest]

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

Medicare billing question

Group,

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