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15 Ιουλ 2024 · Master the Medicare 8-Minute Rule with our comprehensive chart and guide. Simplify billing for time-based therapy services and maximize reimbursement.
Normally these codes are used to report services to a patient's Workers Compensation program and are only rarely used for Medicare. Here are some examples on how to count the appropriate number of units for the total therapy minutes provided using the 8 Minute Rule: 24 minutes of neuromuscular reeducation, code 97712.
Billing Medicare for timed services requires using the 8-minute rule. Our comprehensive guide breaks down the rule with charts, examples, and an FAQ. What PTs, OTs, and SLPs need to know about this Medicare timed-services coding requirement.
25 Αυγ 2023 · The rule allows practitioners to bill Medicare for one unit of service if its length is at least eight minutes but less than 22 minutes. A billable “unit” of service refers to the time interval for the service. Under the 8-minute rule, units of service consist of 15 minutes each.
In this article, we will provide an in-depth exploration of the Medicare 8-Minute Rule, shed light on its significant implications for healthcare providers, and offer valuable insights on how you can optimize your reimbursements by gaining a thorough understanding of this rule.
The key feature of the 8-minute rule—and the origin of its namesake—is that a therapist must provide direct treatment for at least eight minutes to receive payment from Medicare for a time-based (or constant attendance) CPT code.
Medicare 8-Minute Rule Chart. The Medicare 8-Minute Rule is a billing guideline used by therapists to determine the number of billable units for time-based services. This rule requires at least 8 minutes of direct treatment for each billable unit, with each unit occurring in 15-minute increments.
