jlbaker10
New
I bill for Pediatric (Birth to age 3) OT/PT and Speech Therapy. I was asked recently about evaluations that aren't completed during a single session. The problem we have, is most of these kiddos can't make it through a session that is long enough to complete the entire eval. The therapists will finish the eval during the following session. The situation brought up several questions.
1) Which DOS do we use for the eval? The initial date, or the date it was completed?
2) Should I consider billing it on both dates and using mod 53 (discontinued procedure) on the first date, and mod 52 (reduced services) for the second DOS?
3) Obviously, we wouldn't bill 2 complete evals but could we possibly bill for a therapy session on one of the dates and the eval on another?
Any thoughts?
1) Which DOS do we use for the eval? The initial date, or the date it was completed?
2) Should I consider billing it on both dates and using mod 53 (discontinued procedure) on the first date, and mod 52 (reduced services) for the second DOS?
3) Obviously, we wouldn't bill 2 complete evals but could we possibly bill for a therapy session on one of the dates and the eval on another?
Any thoughts?