Payment Policy Updates

  • January 8, 2025

    The following policies received their annual review with no changes:

    The following policies received their annual review with the changes noted below:

    • Physical Medicine and Rehabilitation Services
      • Removed previous clarifying statement due to creating confusion: “When calculating the number of billable units for a particular date of service, add the total minutes of skilled, one-on-one therapy and divide that total by 15. If eight or more minutes are left over, bill for one more unit; if seven or fewer minutes remain, an additional unit is not supported. The total billed therapy units must be supported by the documented total time spent on therapeutic activities.”
  •    Email this article