{"id":15074,"date":"2022-02-14T12:08:53","date_gmt":"2022-02-14T12:08:53","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=15074"},"modified":"2025-10-17T06:55:13","modified_gmt":"2025-10-17T06:55:13","slug":"beginners-guide-for-billing-therapy-care","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/beginners-guide-for-billing-therapy-care\/","title":{"rendered":"Beginners Guide for Billing Therapy Care"},"content":{"rendered":"

Orthopedic surgeons are increasingly incorporating physical and occupational therapy services into their practices. In-house billers, who may be inexperienced with the new services, terminology, and associated CPT codes, may be unsure about billing for therapy care. <\/span><\/p>\n

Medical Billers and Coders (MBC)<\/b> is a leading medical billing company<\/a> providing complete revenue cycle services. We keep on sharing billing and coding guidelines, updates, and industry news, to assist providers and the in-house billing team. This article can be treated as a beginner’s guide for billing therapy care.\u00a0<\/span><\/p>\n

Billing Therapy Care<\/span><\/h2>\n

Understanding the billing terms and the chronology of therapy care is key to appropriate therapy billing. We reviewed, Medicare coverage guidelines, which are often used by other insurance carriers as well, are outlined in Chapter 15, section 220, of the Medicare Benefit Policy Manual. <\/span><\/p>\n

Although Medicare allows qualified nonphysician providers to order and certify therapy services, this focus is on physicians as the ordering entities. Therapy treatment begins with a physician order or referral, which includes a diagnosis and may include directions for the type, duration, and intervals of treatment.<\/span><\/p>\n