Tip of the week
Rehab Regs, July 18, 2008
Do not bill Medicare and other third-party payers for CPT code 97537 (Community work/reintegration training) if your treatment focused on work environment/modification analysis, or work task analysis. Medicare and other third-party payers may deny claims for 97537 because they may feel that they should not be paying to get someone back to work. That typically falls under workers’ compensation or automobile claims.
This tip 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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