How should time be reported for time-based physical therapy services?

Get ready for the AAPC Certified Professional Medical Auditor Test. Enhance your skills with multiple choice questions, each designed to provide thorough explanations. Excel in your exam preparation!

In time-based physical therapy services, reporting must adhere to the standard increment of 15-minute blocks. This approach is consistent with the guidelines set forth by Medicare and other insurance providers, which require that time spent on therapy codes be documented in 15-minute segments.

When billing, if a therapist provides 30 minutes of therapy, they would report two units of service, as this represents two complete 15-minute increments. Therefore, this method ensures that therapists are compensated accurately and in alignment with the billing procedures recognized by payers.

The emphasis on 15-minute increments allows for clearer communication in billing and ensures that the amount of therapy provided is precisely calculated and recorded. This helps maintain compliance and avoids disputes with payers regarding the appropriateness of the billed services based on the time-related criteria.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy