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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.
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Addressing Sensory Processing Challenges with the 8-Minute Rule: This article addresses how the 8-minute rule can be used to manage sensory overload and improve sensory regulation in children and adults.
The 8-minute rule is an essential guideline for billing therapy services. It requires that services be billed in 8-minute increments. This method helps ensure consistent and accurate billing across therapy sessions. For example, a therapy session lasting 42 minutes should be billed as six units according to the 8-minute rule.
26 Οκτ 2022 · How to Apply the 8-Minute Rule in OT Billing. The 8-minute rule, sometimes called the 15-minute rule or rule of eights, is utilized by Medicare and other payers to calculate how many units a practitioner can bill under timed codes. The amount of time that can be used in the 8-minute rule calculation is based on the amount of treatment time ...
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.
This Medicare guideline, like many of CMS’s rules, is complex and unforgiving of mistakes. But in this guide, we provide a comprehensive overview of the 8-minute rule and how it affects Medicare billing for your outpatient rehab therapy practice. What codes apply to the 8-minute rule? CPT codes includes both time-based and service-based codes.