Jul 10, 2019 · Although called the rule of 8’s, your facility may require a minimum amount of treatment time to be billable for 1 unit. For example, my facility requires at least 15 minutes of treatment for 1 unit. Use your watch’s stopwatch to time each session then write it …

For example, a therapy session lasting 42 minutes should be billed as six units according to the 8-minute rule. Understanding this rule, including calculating billable units and rounding session times, is crucial for precise billing and reimbursement. Example 1: Short Session. Duration: 12 minutes. Billable Units: 1 unit (8-22 minutes = 1 unit)

Sep 19, 2019 · 42 CFR, Sections 410.60 and 410.61 describe outpatient physical therapy services and the plan of treatment for outpatient rehabilitation services, respectively. 42 CFR, Sections 410.74, 410.75, 410.76, and 419.22 define the services of non-physician practitioners.

Nov 3, 2023 · Understand how to calculate time to bill for time-based occupational therapy intervention codes. Many occupational therapy (OT) procedures are billed through timed codes that capture individual units of time spent performing those services in 15-minute increments.

Nov 8, 2024 · Put simply, the 8 minute rule dictates that healthcare providers must provide at least eight minutes of direct, face-to-face patient care to bill for one unit of a timed service. Anything less than that doesn’t qualify as billable time.

Nov 29, 2023 · Billing units are timed codes outlining how long you provided an occupational therapy service. Insurance companies determine reimbursement rates using billing units because patients may only be covered for a certain number of treatment minutes, depending on the type of therapy plan or service.

Nov 26, 2024 · This guide explores occupational billing units in detail, including types, challenges, best practices, and key coding rules to help OTs optimize financial and operational practices. Understanding OT Billing Units. OT billing includes two primary types of codes: timed and untimed, which dictate how therapists should bill for their services.

Oct 18, 2024 · Take a look at the following list of top occupational therapy CPT codes to ensure accurate billing, maximize reimbursement potential, and contribute to your practice’s financial stability.

Occupational therapists use billing units for insurance reimbursement. These are typically timed codes indicating how long an OT provided direct occupational therapy to a client. There are …

The 8 minute rule helps therapists determine the number of units they can bill for a specific timed service. Service units for therapy occur in 15-minute increments. For example, a 30-minute session would be billed and reimbursed for two units. When does the 8 minute rule start?