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11 Part B Billing Scenarios for PTs and OTs

The Centers for Medicare and Medicaid Services have published eleven (11) Part B scenarios for physical and occupational therapists.  The scenarios include:

  1. Billing - CPT Codes:  Not Permitted
  2. Billing - CPT Codes:  Permitted
  3. Group Therapy -vs- Individual Therapy (I found this particularly interesting)
  4. Team Therapy
  5. Counting Minutes of Service Units
  6. Group and Individual CPT Codes Billed on Same Day
  7. Supervision
  8. Qualified Personnel
  9. Group Frequency
  10. Documentation
  11. SNF Part B Billing

There is a brief explanation of the difference between group therapy for Part A versus group therapy for Part B at the bottom of the article.

The document is well written, with easy-to-follow explanations.  It might save you some lost billing to read through it.  Check it out at Centers for Medicare and Medicaid Services - 11 Part B Billing Scenarios for PTs and OTs

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