How Do You Know if Your Therapists Are Coding Timebased Codes Accurately?

The recent self-disclosed conduct to the Office of the Inspector General (OIG) by Team Rehabilitation Services (TRS) is a reminder of the importance of proper coding by physical and occupational therapists. TRS agreed to pay over $12MILLION for allegedly violating the Civil Monetary Penalties Law. There were issues identified with improper billing for time-based codes and for the specific CPT code of 97164, the re-evaluation code. When coding time-based codes for Federal payors, or those…