Guest guest Posted April 28, 1999 Report Share Posted April 28, 1999 I have a few charging questions for the group relating to timed charges. Background Info: Our charging formula for timed charges is based on rounding to the nearest unit in the code description. 1 - 7 minutes no charge (ex. attempt to see patient and he/she refuses) 8 - 15 minutes 1 unit 16 - 22 minutes 1 unit 23 - 30 minutes 2 units etc. Questions: My questions are as follows: 1. Is rounding to the nearest unit the correct formula to be utilizing? I know many other facilities do not use this method. 2. Does anyone use modifier -52 (reduces services) when the total time of treatment does not equal the stated units in the code description? 3. Is it fraudulent to see a patient for less than 8 minutes (in our case), document and not submit a charge? One of the staff therapists had heard that it is fraudulent even if the patient refused or treatment began and then stopped due to patient's tolerance, etc. Thank you in advance! Lorie Ailor, MS,OTR Lutheran Hospital of Indiana ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.