If you have 2 patients scheduled for an hour at the same time, for example 8-9am (double booked), are you allowed to bill 4 timed units (60 min) to each patient? So patient A would get 4 units and patient B would also get 4 units.
From my understanding of AMA CPT codes if we are charging therapeutic procedures such as ther ex, ther act, gait, neuro re-ed, all of theses codes are supposed to be one-on-one. So I don't understand how some clinics are getting away with charging 4 timed units in an hour block for each patient. I know the clinics that are doing this are doing so with commercial payers and not federal payers.
Is there some loophole that I am not aware of because the CPT codes are written by AMA not CMS so they apply to both commercial and federal payers?
Posts: 1163
Joined: March 15, 2006
Status: offline
No, its neither legal or IMO ethical. the most you can bill each is a total of 60 minutes. I believe that there is a group therapy code but it is much lower. We never use it.
Printable Version
All Forums >> [RehabEdge Forum] >> Open Forum >> Double Booking/Billing is it ethical/legal? 
Double Booking/Billing is it ethical/legal? - 
New Messages
No New Messages
Hot Topic w/ New Messages
Hot Topic w/o New Messages
Locked w/ New Messages
Locked w/o New Messages
Post New Thread