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Medicare "flagging"
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Medicare "flagging" - October 12, 2000 3:18:00 AM
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Harold
Posts: 8
Joined: October 11, 2000
From: Apopka, FL
Status: offline
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Hello,
I have a rehabilitation center. I'm glad I found your site since the APTA
doesn't know anything about rehabilitation clinics, just PT's in private
clinics. I have a few questions since nobody wants to be "flagged" by
Medicare.
1. What is the average amount of units billed per treatment? Is 6 too much,
is 3 too little, how much time do they expect. On easy days I can easily
spend 2 1/2 hours with a patients hands on.
2. I can find documentation guidelines everywhere !! They are of no use, the
can be interpreted in many ways, just like the rehab manual from HCFA
(@#$$#@). I need some"approved" examples, just like a HCFA form 700 and 701,
for my daily notes. Any suggestions?
3. What is the maximal treatment duration? 8 weeks, 12 weeks, 14 weeks?
Don't tell me "as long as there is progress", since medicare will "prove"
there is no progress anyway. What time, duration or frequency flags
Medicare? (the examples in the rehab guide from HCFA are too old and not up
to date)
PS. Are there codes (cpt-9) we can use to lengthen the treatment duration
without flagging Medicare?
Thanx alot,
Harold
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Re: Medicare "flagging" - October 12, 2000 4:00:00 AM
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Andrew M. Ball, MS, PT
Posts: 500
Joined: October 8, 1999
From: Chapel Hill, NC, USA
Status: offline
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The GUIDE to PT Practice should offer some guidience to some (but not all) of your questions. My first question would be do you have a copy of the GUIDE? Have you used it? What practical limitations have you been dealing with? Have you communicated those problems to the APTA?
Drew
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Re: Medicare "flagging" - October 12, 2000 11:58:00 AM
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mcap
Posts: 652
Joined: February 8, 2000
Status: offline
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Dear Forum member:
You should try addressing your questions to the tx team consultants at the bottom of the forum.
That is the appropriate place and they have been excellent in the past.
Good luck,
mcap
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