Optimizing Reimbursement: Weekly tools and tips
Rehab Regs, October 17, 2008
Bill correctly for multiple units of service on the same day
It is possible to bill more than one unit of a service-based CPT code to the same patient on the same day. This could occur if the patient was seen for outpatient therapy services twice on the same day during two separate sessions. An example would be a patient receiving whirlpool treatment in the morning and then again in the afternoon. Assuming the treatment was medically necessary and met all other requirements, the provider could bill two units of 97022. For Medicare patients, the provider would have to append modifier -59 to 97022 on the claim form.
This tip for optimal reimbursement is from HCPro’s book The How-To Manual for Rehab Documentation: A Complete Guide to Increasing Reimbursement and Reducing Denials.
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