Billing times and units for varying insurances

[Guest guest]

Hello Group,

Just need some confirmation and maybe some more direction to some black and

white back up.

No matter what insurance you are talking, if you are seeing 2 patients at one

time, you cannot (or should not I will say)

bill them each individually for the full 4 units they are there (supposing 1

hour tx). Does not matter if its one MC and one BC or 2 MC or 2 WC,

if you are seeing 2 patients at the same time, each of them would get one

group code for their overlapped time, correct? We seem to be having some issues

with that

and any direction to black and white

info would be helpful.

Have a great weekend,

Damon C. Whitfield, PT, ATC

Michigan

[Guest guest]

CPT codes are created by the American Medical Association (AMA) and are used by

the vast majority of insurance companies in the United States to reimburse for

services provided by many different suppliers and providers, including for

outpatient therapy services. The definition of the CPT codes apply to all

insurance companies that use the CPT codes developed by the AMA to reimburse for

outpatient therapy services.

You can double book, triple book, quadruple book patients on the hour (not

talking good patient care here, just proving a point) and have it be perfectly

legal in terms of billing as long as you bill correctly for the time you spent

with the patients one-on-one, in a group setting, or providing supervised

modalities. It's not how long the patient's are in your practice that determines

the billing, it's how much time you spend with them.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

www.gawendaseminars.com

Follow Gawenda Seminars & Consulting, Inc on Facebook

Register for the February 22, 2012 audio conference: " Is Your Practice

Profitable? Evaluating Practice Metrics, Measuring Productivity and Establishing

Incentive Programs " at

https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1755

Subject: Billing times and units for varying insurances

To: " ptmanager " <ptmanager >

Date: Saturday, February 18, 2012, 9:25 AM

 

Hello Group,

Just need some confirmation and maybe some more direction to some black and

white back up.

No matter what insurance you are talking, if  you are seeing 2 patients at one

time, you cannot (or should not I will say)

bill them each individually for the full 4 units they are there (supposing 1

hour tx). Does not matter if its one MC and one BC or 2 MC or 2 WC,

if you are seeing 2 patients at the same time, each of them would get one

group code for their overlapped time, correct? We seem to be having some issues

with that

and any direction to black and white

info would be helpful.

Have a great weekend,

Damon C. Whitfield, PT, ATC

Michigan

[Guest guest]

CPT codes are created by the American Medical Association (AMA) and are used by

the vast majority of insurance companies in the United States to reimburse for

services provided by many different suppliers and providers, including for

outpatient therapy services. The definition of the CPT codes apply to all

insurance companies that use the CPT codes developed by the AMA to reimburse for

outpatient therapy services.

You can double book, triple book, quadruple book patients on the hour (not

talking good patient care here, just proving a point) and have it be perfectly

legal in terms of billing as long as you bill correctly for the time you spent

with the patients one-on-one, in a group setting, or providing supervised

modalities. It's not how long the patient's are in your practice that determines

the billing, it's how much time you spend with them.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

www.gawendaseminars.com

Follow Gawenda Seminars & Consulting, Inc on Facebook

Register for the February 22, 2012 audio conference: " Is Your Practice

Profitable? Evaluating Practice Metrics, Measuring Productivity and Establishing

Incentive Programs " at

https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1755

Subject: Billing times and units for varying insurances

To: " ptmanager " <ptmanager >

Date: Saturday, February 18, 2012, 9:25 AM

 

Hello Group,

Just need some confirmation and maybe some more direction to some black and

white back up.

No matter what insurance you are talking, if  you are seeing 2 patients at one

time, you cannot (or should not I will say)

bill them each individually for the full 4 units they are there (supposing 1

hour tx). Does not matter if its one MC and one BC or 2 MC or 2 WC,

if you are seeing 2 patients at the same time, each of them would get one

group code for their overlapped time, correct? We seem to be having some issues

with that

and any direction to black and white

info would be helpful.

Have a great weekend,

Damon C. Whitfield, PT, ATC

Michigan

[Guest guest]

CPT codes are created by the American Medical Association (AMA) and are used by

the vast majority of insurance companies in the United States to reimburse for

services provided by many different suppliers and providers, including for

outpatient therapy services. The definition of the CPT codes apply to all

insurance companies that use the CPT codes developed by the AMA to reimburse for

outpatient therapy services.

You can double book, triple book, quadruple book patients on the hour (not

talking good patient care here, just proving a point) and have it be perfectly

legal in terms of billing as long as you bill correctly for the time you spent

with the patients one-on-one, in a group setting, or providing supervised

modalities. It's not how long the patient's are in your practice that determines

the billing, it's how much time you spend with them.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

www.gawendaseminars.com

Follow Gawenda Seminars & Consulting, Inc on Facebook

Register for the February 22, 2012 audio conference: " Is Your Practice

Profitable? Evaluating Practice Metrics, Measuring Productivity and Establishing

Incentive Programs " at

https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1755

Subject: Billing times and units for varying insurances

To: " ptmanager " <ptmanager >

Date: Saturday, February 18, 2012, 9:25 AM

 

Hello Group,

Just need some confirmation and maybe some more direction to some black and

white back up.

No matter what insurance you are talking, if  you are seeing 2 patients at one

time, you cannot (or should not I will say)

bill them each individually for the full 4 units they are there (supposing 1

hour tx). Does not matter if its one MC and one BC or 2 MC or 2 WC,

if you are seeing 2 patients at the same time, each of them would get one

group code for their overlapped time, correct? We seem to be having some issues

with that

and any direction to black and white

info would be helpful.

Have a great weekend,

Damon C. Whitfield, PT, ATC

Michigan