Group Therapy

[Guest guest]

Dear Group,

Today has been the day for challenging client questions. Thanks to all

for responding to the PT student treating Medicare patients.

A different client has challenged me to " prove " that the group therapy code

97150 applies to all insurance carriers not just Medicare. My

understanding is that if you are not providing one-on-one therapeutic exercise

to an

individual, but instead are providing " group therapy " to two or more

patients at the same session you must bill 97150, regardless if the patient has

commercial insurance or Medicare.

The client is billing the Medicare patient for 97150 and billing the

commercial patient 97110. Who is right in this debate? Please provide a

written ruling on this question if possible.

Have a great evening,

Vickie

D. Cavitt, President

Rehab Billing Specialists, L.L.C.

600 Guilbeau Road, Suite A

Lafayette, LA 70506

Phone

Fax

_www.rehabilling.com_ (http://www.rehabilling.com/)

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