Question

You are a PT in a SNF. You discontinue therapy on one of your patients who you have been treating under original Medicare A because goals have been met. You set up a restorative ambulation program for the patient to be ambulated with a wheeled walker with SBA for 100 ft. The restorative aide comes to you after 35 days and says the patient is now requiring moderate assist to ambulate and can go only 50 ft. You determine it is appropriate to resume therapy. Which one of the following insurances would the PT be correct in billing?

a. Medicare A
b. Medicare C
c. Medicare D
d. Medicare B

Answer 1

The PT should bill Medicare B for resuming therapy.

Step-by-step explanation:

If the PT determines it is appropriate to resume therapy because the patient's condition has worsened, the correct insurance to bill would be Medicare B. Medicare B covers outpatient therapy services, including physical therapy. In this case, the PT would resume therapy to address the patient's decline in ambulation abilities and continue providing necessary treatment.