Do you properly document and bill for your timed physical medicine services?

If you do not properly document and bill your timed services you may get audited, which you do not want.

Welcome to your billing and coding weekly solutions by H. J. Ross Company where getting your bills paid is what we do best!

Do you properly document and bill for your timed physical medicine services?

If you do not properly document and bill your timed services you may get audited, which you do not want.

Here is the 15 minute and 8 minute rule for billing:

When only one service is provided in a day, providers should not bill for services performed for less than 8 minutes.

1 unit: Greater than 8 minutes through 22 minutes
2 units: Greater than 23 minutes through 37 minutes
3 units: Greater than 38 minutes through 52 minutes
4 units: Greater than 53 minutes through 67 minutes

Note: Only one time based code may be performed at a time.

What does ‘time as a function of work’ include?

Pre-service time includes assessment and management time (doing some evaluation)
Intra-service includes hands-on treatment
Post-service includes the assessment of treatment, effectiveness, and documentation while the patient is present.

What is included in Cumulative Time Billed?

If more than one procedure code is billed for on the same date of service the time must be separately documented for each specific procedure or time-based service. This will document what portion of the total visit was spent performing each of the billed codes.

Thankfully, H. J. Ross & Company has over 40 years of experience in dealing with a wide range of chiropractic billing issues.

H. J. Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason chiropractors have trusted H. J. Ross Company with their business for over 40 years.