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January 2015

Reminder: Be sure you’re billing correctly for therapy services

Our claims experience shows that hospital outpatient departments and freestanding outpatient physical therapy facilities are not billing correctly for physical, occupational and speech therapy services.

We shared the billing requirements in the November 2012 and July 2013 issues of The Record.

When these services are not billed correctly, your patients may reach their therapy benefit limits sooner than they should.

For each date of service, please report the following:

  • Therapy services revenue code
  • Health Care Common Procedure Coding System code
  • Number of services provided

For more information, contact your provider consultant.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.