09: Billing And Coding

Question 1

What is the Service Code Payment Cycle?

Answer 1

Skilled OT services > Documentation > Coding > Billing > Reimbursement

Question 2

What are ICD codes and how are they categorized?

Answer 2

• International Classification of Diseases
• Categorized by body systems and condition types

Question 3

What are CPT Codes?

Answer 3

• Current Procedural Technology
• Commonly used codes for rehab providers

Question 4

What is the significance of documentation?

Answer 4

Justify needs for services!

Question 5

What is the 8-minute rule and how do you apply it?

Answer 5

• The 8-minute rule states that to receive Medicare reimbursement, you must provide treatment for at least eight minutes.
• Using the “rule of eights,” billing units that are normally based on 15-minute increments spent with a patient can be standardized.