Guest guest Posted December 2, 2008 Report Share Posted December 2, 2008 Todd, As you probably already know... " The purpose of these notes is simply to create a record of all treatments and skilled interventions that are provided and to record the time of the services in order to justify the use of billing codes on the claim. " (page 36) Also, I have been told by Medicare consultants that time-in/time-out is not sufficient. We do the following: time-in/time-out time for one-on-one procedures time for supervised modalities (eg: traction). For example: time-in: 8am time-out: 9am = 4 units 8am to 8:30 therapeutic ex (one-on-one) 15 minutes traction 15 minutes e-stim = 4 units That way the total and the time-in/time-out minutes are consistent. You want to make it easy for the Medicare auditor to decide that you are not 'low hanging fruit'. I've found that well-designed chart templates and staff training are crucial to ensure that your therapists consistently apply these policies. Once they get into the habit of jotting down the time it's not too difficult. Get a copy of my chart template at http://www.bulletproofpt.com/compliance-plan.htm Also, the reference for Transmittal 88 (page 36) is at http://www.cms.hhs.gov/transmittals/downloads/r88bp.pdf Tim Tim , PT www.BulletproofPT.com TimRichPT@... > > Group, I am looking for non-grey interpretation of the timed/unitmed/total minutes rule in transmittal 88. We are doing an internal audit and the auditor feels that start/stop times are most appropriate and reads start/stop times into the transmittal. I feel that transmittal 88 says the total time, timed minutes are all that is required. Untimed minutes are voluntary (we do include). Is there something that supplants this transmittal that says start/stop times are " best practice " ? Of course, charged units must match your recorded minutes by following the 8 min rule. > > Thanks. > > Todd Mourning, PT > Manager of Therapy Services > Abraham Lincoln Memorial Hospital > 315 8th Street > Lincoln, IL 62656 > > > (direct) > (fax) > > mourning.todd@... > > > ________________________________ > This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 Tom, I agree. Total treatment time = 60 minutes Total timed code time = 30 minutes (ther ex) ....is a specific, easy-to-read summary of the session. Your scenario is better. Thank you. Tim www.BulletproofPT.com > > >> > > >> Group, I am looking for non-grey interpretation of the > > > timed/unitmed/total minutes rule in transmittal 88. We are doing > an > > internal audit and the auditor feels that start/stop times are most > > appropriate and reads start/stop times into the transmittal. I feel > that > > transmittal 88 says the total time, timed minutes are all that is > > required. Untimed minutes are voluntary (we do include). Is there > > something that supplants this transmittal that says start/stop times > are > > " best practice " ? Of course, charged units must match your recorded > > minutes by following the 8 min rule. > > >> > > >> Thanks. > > >> > > >> Todd Mourning, PT > > >> Manager of Therapy Services > > >> Abraham Lincoln Memorial Hospital > > >> 315 8th Street > > >> Lincoln, IL 62656 > > >> > > >> > > >> (direct) > > >> (fax) > > >> > > >> mourning.todd@<mailto:mourning.todd@> > > >> > > >> > > >> ________________________________ > > >> This message (including any attachments) contains confidential > > > information intended for a specific individual and purpose, and is > > protected by law. If you are not the intended recipient, you should > > delete this message. Any disclosure, copying, or distribution of > this > > message, or the taking of any action based on it, is strictly > > > prohibited. > > >> > > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 Tom, I agree. Total treatment time = 60 minutes Total timed code time = 30 minutes (ther ex) ....is a specific, easy-to-read summary of the session. Your scenario is better. Thank you. Tim www.BulletproofPT.com > > >> > > >> Group, I am looking for non-grey interpretation of the > > > timed/unitmed/total minutes rule in transmittal 88. We are doing > an > > internal audit and the auditor feels that start/stop times are most > > appropriate and reads start/stop times into the transmittal. I feel > that > > transmittal 88 says the total time, timed minutes are all that is > > required. Untimed minutes are voluntary (we do include). Is there > > something that supplants this transmittal that says start/stop times > are > > " best practice " ? Of course, charged units must match your recorded > > minutes by following the 8 min rule. > > >> > > >> Thanks. > > >> > > >> Todd Mourning, PT > > >> Manager of Therapy Services > > >> Abraham Lincoln Memorial Hospital > > >> 315 8th Street > > >> Lincoln, IL 62656 > > >> > > >> > > >> (direct) > > >> (fax) > > >> > > >> mourning.todd@<mailto:mourning.todd@> > > >> > > >> > > >> ________________________________ > > >> This message (including any attachments) contains confidential > > > information intended for a specific individual and purpose, and is > > protected by law. If you are not the intended recipient, you should > > delete this message. Any disclosure, copying, or distribution of > this > > message, or the taking of any action based on it, is strictly > > > prohibited. > > >> > > >> > > >> Quote Link to comment Share on other sites More sharing options...
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