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Home Health & Hospice Week

Therapy:

Untimed Codes May Put Your Part B Therapy Claims At Risk

Published on Tue Mar 16, 2010

Don't let RACs bilk you out of this appropriate therapy billing. If you're a home health agency offering outpatient therapy services to patients in their homes, Part B therapy billing might not be your strong suit. That's why you need to pay special attention to a new RAC topic that could rob you of your rightful reimbursement. Recovery Audit Contractors are going after overbilling of untimed therapy codes. Three out of four RACs have published untimed codes as an approved issue for automated review, warns Nancy Beckley with Bloomingdale Consulting Group Inc. in Brandon, Fla. Automated RAC reviews are ones "where the computer rolls away in the middle of the night and determines if a particular code has been billed in units of more than one," she says. In a nutshell: "An untimed code, according to the CPT code definition, is one billed irrespective of the time spent on the [...]
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