BRRR coding corner
Briefings on Outpatient Rehab: Reimbursement and Regulations, September 1, 2008
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Editor’s note: Rick Gawenda, PT, director of rehabilitation services at Detroit Receiving Hospital and owner of Gawenda Seminars (www.gawendaseminars.com) in Ypsilanti, MI, answered the coding questions below. Submit questions to Associate Editor Emily Beaver at ebeaver@hcpro.com.
Q. We provide outpatient therapy in a hospital setting in Illinois. Our fiscal intermediary is National Government Services (NGS), and we received the local coverage determination (LCD) indicating they no longer reimburse for iontophoresis.To do iontophoresis on a Medicare beneficiary, do we need to have him or her sign an advance beneficiary notice (ABN)? This would then make the beneficiary liable for the charges. Can we bundle iontophoresis with other treatments (e.g., therapeutic exercise) and simply not charge for the iontophoresis?
A. NGS released a new LCD for outpatient PT and OT services with an effective date of July 1.
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