Question: Why are some therapy services considered separately payable outside of Skilled Nursing Facility consolidated billing when rendered by providers other than physical and occupational therapists?
Patient Financial Services Weekly Advisor, August 29, 2008
Answer: Effective for claims with dates of service on or after July 1, 2004, a number of therapy services are considered surgery when rendered by providers other than physical and occupational therapists and are separately payable outside of consolidated billing by the Medicare carrier. The Medicare claims systems will allow separate payment to providers, other than physical and occupational therapists, for services provided to Medicare beneficiaries in a Part A covered SNF stay or a non-covered SNF stay for the following Healthcare Common Procedure Coding System (HCPCS):
29065 29075 29085 29086 29105 29125 29126
29130 29131 29200 29220 29240 29260 29280
29345 29365 29405 29445 29505 29515
29520 29540 29550 29580 29590 64550
Source: Centers for Medicare & Medicaid Services
Comments
0 comments on “Question: Why are some therapy services considered separately payable outside of Skilled Nursing Facility consolidated billing when rendered by providers other than physical and occupational therapists? ”
Related Products
-
Recovery Auditor Report
The Recovery Auditor Report is a free biweekly e-newsletter of useful tips and strategies to get you prepared for the...
-
Medicare Update for CAHs
Medicare Update for CAHs is a free bi-weekly ezxne that provides specialized information for our CAH (critical access...
Most Popular
- Articles
-
- HIPAA Q&A: Answering service messages
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q&A: Coding for dry skin due to cold weather
- Q/A: Volume requirement for reporting hydration services
- Are your workforce members texting PHI?
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Privacy, security concerns high in HIEs
- QA:Coding multiple initial infusions
- OB services: Coding inside and outside of the package
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- HIPAA Q&A: Answering service messages
- HIPAA Q&A: TPO disclosures to a business associate
- Are your workforce members texting PHI?
- Q&A: Coding for dry skin due to cold weather
- Hospitalist-surgeon comanagement has no effect on outcomes
- Don't let these sentinel events trigger falsely
- Correctly bill ancillary bedside procedures in addition to the room rate
- Searched