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RE: Missed Minutes

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Tim,

This is a great topic for discussion. I have found that therapists will often

not credit themselves for the patient/family education that they provide. It's

important to understand when you can bill for this service: 1) The education

needs to be provided in the company of the patient (if you're pulling family

outside the patient's room to discuss caregiver burden issues, etc, it is not

billable time). 2) It needs to be education pertinent to your established plan

of care and obviously within your scope of practice. I do not bill for

" patient/family eduction " per se, but rather, we bill for the topic area being

educated on. As an OT, I would bill a 97535 ADL Training charge if I'm

providing education on adaptive equipment that would assist with lower body

dressing for example.

One thing that the therapist cannot bill for is documentation time when it is

performed outside of patient treatment time. From an ethical standpoint, even

if documentation was performed while treating the patient, I would not bill for

all of my time if I felt that my documentation was in any way distracting from

the treatment I was providing.

I hope this helps with this very important issue.

Thanks,

Curtis

________________________________

From: PTManager on behalf of tspedersen6

Sent: Tue 1/20/2009 2:48 PM

To: PTManager

Subject: Missed Minutes

Can anyone comment on their experiece with ensuring that staff is

taking credit for all billable time in a SNF working with residents

covered under Medicare Part A?

Where do you find that staff doesn't take credit?

What is billed for that shouldn't be as well?

Thanks

Tim Pedersen PT

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Tim,

This is a great topic for discussion. I have found that therapists will often

not credit themselves for the patient/family education that they provide. It's

important to understand when you can bill for this service: 1) The education

needs to be provided in the company of the patient (if you're pulling family

outside the patient's room to discuss caregiver burden issues, etc, it is not

billable time). 2) It needs to be education pertinent to your established plan

of care and obviously within your scope of practice. I do not bill for

" patient/family eduction " per se, but rather, we bill for the topic area being

educated on. As an OT, I would bill a 97535 ADL Training charge if I'm

providing education on adaptive equipment that would assist with lower body

dressing for example.

One thing that the therapist cannot bill for is documentation time when it is

performed outside of patient treatment time. From an ethical standpoint, even

if documentation was performed while treating the patient, I would not bill for

all of my time if I felt that my documentation was in any way distracting from

the treatment I was providing.

I hope this helps with this very important issue.

Thanks,

Curtis

________________________________

From: PTManager on behalf of tspedersen6

Sent: Tue 1/20/2009 2:48 PM

To: PTManager

Subject: Missed Minutes

Can anyone comment on their experiece with ensuring that staff is

taking credit for all billable time in a SNF working with residents

covered under Medicare Part A?

Where do you find that staff doesn't take credit?

What is billed for that shouldn't be as well?

Thanks

Tim Pedersen PT

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